Collado, Juan Pablo

Collado, Juan Pablo is an individual health care provider with primary practice located at 520 W 190Th St Suite A, New York NY 10040-3407. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Collado, Juan Pablo can be contacted via phone (212) 568-3231.

Contact Information

Primary practice address
520 W 190Th St Suite A New York NY 10040-3407
Fax: (212) 568-7727
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 045828 New York

Profile Details

NPI number 1952390015
LBN Legal business name Collado, Juan Pablo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 13th, 2026 - about 4 months 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 1952390015 NPPES
New York MEDICAID 01539651

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