Blumenthal, Peter David

Blumenthal, Peter David is an individual health care provider with primary practice located at 34-37 21St St Blumenthal & Associates Dds Pc, Long Island City NY 11106. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blumenthal, Peter David can be contacted via phone (718) 786-8667.

Contact Information

Primary practice address
34-37 21St St Blumenthal & Associates Dds Pc Long Island City NY 11106
Phone: (718) 786-8667
Fax: (718) 786-8531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 035614 New York

Profile Details

NPI number 1942281704
LBN Legal business name Blumenthal, Peter David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1942281704 NPPES
New York MEDICAID 00606877

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