Shackatano, Paul

Shackatano, Paul is an sole proprietor health care provider with primary practice located at 10035 Metropolitan Ave , Forest Hills NY 11375-6603. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shackatano, Paul can be contacted via phone (718) 263-2441.

Contact Information

Primary practice address
10035 Metropolitan Ave Forest Hills NY 11375-6603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29743 New York

Profile Details

NPI number 1235286154
LBN Legal business name Shackatano, Paul
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 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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