Sifontes, Theodore J
Sifontes, Theodore J is an sole proprietor health care provider with primary practice located at 107 W 4Th St , Mount Vernon NY 10550-4002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sifontes, Theodore J can be contacted via phone (914) 699-7200.Contact Information
Primary practice address
107 W 4Th St
Mount Vernon NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 169644 | New York |
Profile Details
| NPI number | 1851311658 |
|---|---|
| LBN Legal business name | Sifontes, Theodore J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851311658 | NPPES |
| New York | MEDICAID | 01553626 |
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