Blain, Carla M

Blain, Carla M is an individual health care provider with primary practice located at 229 Post Ave , Westbury NY 11590-3021. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blain, Carla M can be contacted via phone (516) 282-5100.

Contact Information

Primary practice address
229 Post Ave Westbury NY 11590-3021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050759 New York

Profile Details

NPI number 1619966439
LBN Legal business name Blain, Carla M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Apr 9th, 2008 - 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 1619966439 NPPES
New York MEDICAID 02420088

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