Trinidad, John R
Trinidad, John R is an sole proprietor health care provider with primary practice located at 193 Greene Ave , Sayville NY 11782-3002. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Trinidad, John R can be contacted via phone (631) 589-1706.Contact Information
Primary practice address
193 Greene Ave
Sayville NY 11782-3002
Phone: (631) 589-1706
Fax: (631) 218-1863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N002883 | New York |
Profile Details
| NPI number | 1134117476 |
|---|---|
| LBN Legal business name | Trinidad, John R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 28th, 2011 - about 13 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 | 1134117476 | NPPES |
| Other | P3201 | BC | |
| MEDICAID | 00400189 | BC |
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