Shroff, Pratix Kantilal

Shroff, Pratix Kantilal is an individual health care provider with primary practice located at 26309 Union Tpke , Floral Park NY 11004-1354. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shroff, Pratix Kantilal can be contacted via phone (718) 343-3300.

Contact Information

Primary practice address
26309 Union Tpke Floral Park NY 11004-1354
Fax: (718) 343-3324
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046088 New York

Profile Details

NPI number 1881683167
LBN Legal business name Shroff, Pratix Kantilal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 16th, 2020 - about 4 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 1881683167 NPPES
New York MEDICAID 01596029

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