Stergakos, Peter
Stergakos, Peter is an sole proprietor health care provider with primary practice located at 6040 Jericho Tpke , Commack NY 11725-2806. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stergakos, Peter can be contacted via phone (631) 462-0300.Contact Information
Primary practice address
6040 Jericho Tpke
Commack NY 11725-2806
Phone: (631) 462-0300
Fax: (631) 462-0347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049831 | New York |
Profile Details
| NPI number | 1023224334 |
|---|---|
| LBN Legal business name | Stergakos, Peter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023224334 | NPPES |
| New York | MEDICAID | 02189540 |
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