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
Fax: (718) 829-5060
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895218 NPPES
New York MEDICAID 00287009

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