Wallach, Jacob

Wallach, Jacob is an individual health care provider with primary practice located at 99 N Broadway , Nyack NY 10960-2627. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallach, Jacob can be contacted via phone (845) 358-1728.

Contact Information

Primary practice address
99 N Broadway Nyack NY 10960-2627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 50 053926 New York

Profile Details

NPI number 1114183837
LBN Legal business name Wallach, Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Aug 4th, 2011 - about 14 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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