Trager, Robert Maxwell
Trager, Robert Maxwell is an sole proprietor health care provider with primary practice located at 111-02 Farmers Blvd , Hollis NY 11412. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Trager, Robert Maxwell can be contacted via phone (718) 454-3442.Contact Information
Primary practice address
111-02 Farmers Blvd
Hollis NY 11412
Phone: (718) 454-3442
Fax: (718) 454-3888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 026753 | New York |
| Dental Providers / Dentist | 122300000X | 10531 | Massachusetts |
Profile Details
| NPI number | 1699766899 |
|---|---|
| LBN Legal business name | Trager, Robert Maxwell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jan 25th, 2013 - about 11 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 | 1699766899 | NPPES |
| New York | MEDICAID | 00289845 |
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