Vasquez, Leon A

Vasquez, Leon A is an individual health care provider with primary practice located at 4026 69Th St , Woodside NY 11377-3836. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vasquez, Leon A can be contacted via phone (718) 507-9731.

Contact Information

Primary practice address
4026 69Th St Woodside NY 11377-3836
Phone: (718) 507-9731
Fax: (718) 507-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 03912001 New York

Profile Details

NPI number 1902896319
LBN Legal business name Vasquez, Leon A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902896319 NPPES
New York MEDICAID 01283169

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