Shaev, Sanford

Shaev, Sanford is an sole proprietor health care provider with primary practice located at 105 Stevens Ave 606, Mt Vernon NY 10550-2686. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaev, Sanford can be contacted via phone (914) 699-6191.

Contact Information

Primary practice address
105 Stevens Ave 606 Mt Vernon NY 10550-2686
Fax: (914) 699-1502
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 028493 New York

Profile Details

NPI number 1083776702
LBN Legal business name Shaev, Sanford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 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 1083776702 NPPES
New York MEDICAID 00284804

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