Super, Stuart
Super, Stuart is an sole proprietor health care provider with primary practice located at 800A 5Th Ave Suite 101, New York NY 10021-7215. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Super, Stuart can be contacted via phone (212) 772-0300.Contact Information
Primary practice address
800A 5Th Ave Suite 101
New York NY 10021-7215
Phone: (212) 772-0300
Fax: (212) 535-5270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 027779 | New York |
Profile Details
| NPI number | 1518028166 |
|---|---|
| LBN Legal business name | Super, Stuart |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 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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