Bhuyan, Mohammad Waduduzzaman
Bhuyan, Mohammad Waduduzzaman is an sole proprietor health care provider with primary practice located at 8950 164Th St Ste 2A, Jamaica NY 11432-5142. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bhuyan, Mohammad Waduduzzaman can be contacted via phone (718) 658-4050.Contact Information
Primary practice address
8950 164Th St Ste 2A
Jamaica NY 11432-5142
Phone: (718) 658-4050
Fax: (718) 658-8910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 036853 | New York |
| Dental Providers / Dentist | 122300000X | DN0010710 | Florida |
Profile Details
| NPI number | 1720069651 |
|---|---|
| LBN Legal business name | Bhuyan, Mohammad Waduduzzaman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1720069651 | NPPES |
| New York | MEDICAID | 00722770 | |
| New York | Other | 036853 |
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