Tzur, Ilan
Tzur, Ilan is an sole proprietor health care provider with primary practice located at 809 State Route 208 Ste 4, Monroe NY 10950-1829. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tzur, Ilan can be contacted via phone (845) 782-5040.Contact Information
Primary practice address
809 State Route 208 Ste 4
Monroe NY 10950-1829
Phone: (845) 782-5040
Fax: (845) 782-3478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047225 | New York |
Profile Details
| NPI number | 1639360837 |
|---|---|
| LBN Legal business name | Tzur, Ilan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 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 | 1639360837 | NPPES |
| New York | MEDICAID | 01783820 |
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