Vassallo, Calogero

Vassallo, Calogero is an sole proprietor health care provider with primary practice located at 2500 Nesconset Hwy Building 19-B, Stony Brook NY 11790-2555. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vassallo, Calogero can be contacted via phone (631) 265-3656.

Contact Information

Primary practice address
2500 Nesconset Hwy Building 19-B Stony Brook NY 11790-2555
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050636 New York

Profile Details

NPI number 1700918596
LBN Legal business name Vassallo, Calogero
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Feb 23rd, 2009 - about 15 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 1700918596 NPPES
New York Other 161750869 TAX ID#

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