Schaffer, Samuel
Schaffer, Samuel is an sole proprietor health care provider with primary practice located at 2110 Wallace Ave 1A, Bronx NY 10462. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Schaffer, Samuel can be contacted via phone (718) 829-5060.Contact Information
Primary practice address
2110 Wallace Ave 1A
Bronx NY 10462
Phone: (718) 829-5060
Fax: (718) 829-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20066 | New York |
Profile Details
| NPI number | 1104895218 |
|---|---|
| LBN Legal business name | Schaffer, Samuel |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104895218 | NPPES |
| New York | MEDICAID | 00287009 |
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