Vadakkepullaratt, Vijaya L
Vadakkepullaratt, Vijaya L is an individual health care provider with primary practice located at 14215 Franklin Avenue Suite #1H , Flushing NY 11355. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Vadakkepullaratt, Vijaya L can be contacted via phone (718) 539-1621.Contact Information
Primary practice address
14215 Franklin Avenue Suite #1H
Flushing NY 11355
Phone: (718) 539-1621
Fax: (718) 539-1621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0418571 | New York |
Profile Details
| NPI number | 1396890216 |
|---|---|
| LBN Legal business name | Vadakkepullaratt, Vijaya L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 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 | 1396890216 | NPPES |
| New York | MEDICAID | 01101179 | |
| New York | Other | 0418571 |
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