Shraga, Marina

Shraga, Marina is an sole proprietor health care provider with primary practice located at 10149 Woodhaven Blvd Suite 2 / Dental Office, Ozone Park NY 11416-2300. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shraga, Marina can be contacted via phone (718) 848-7722.

Contact Information

Primary practice address
10149 Woodhaven Blvd Suite 2 / Dental Office Ozone Park NY 11416-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052174 New York

Profile Details

NPI number 1023227642
LBN Legal business name Shraga, Marina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Oct 14th, 2011 - about 13 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 1023227642 NPPES
New York MEDICAID 02721117

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