Sandoval, Juan

Sandoval, Juan is an sole proprietor health care provider with primary practice located at 9413 Flatlands Ave Suite 206E, Brooklyn NY 11236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Sandoval, Juan can be contacted via phone (718) 485-2420.

Contact Information

Primary practice address
9413 Flatlands Ave Suite 206E Brooklyn NY 11236
Phone: (718) 485-2420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 235394 New York

Profile Details

NPI number 1770563272
LBN Legal business name Sandoval, Juan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Jun 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770563272 NPPES
New York MEDICAID 01981093

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