Daversa, Robert
Daversa, Robert is an sole proprietor health care provider with primary practice located at 466 Canterbury St , Westbury NY 11590-1341. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Daversa, Robert can be contacted via phone (516) 333-1954.Contact Information
Primary practice address
466 Canterbury St
Westbury NY 11590-1341
Phone: (516) 333-1954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 040940 | New York |
Profile Details
| NPI number | 1922336767 |
|---|---|
| LBN Legal business name | Daversa, Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2009 |
| Last updated | Dec 4th, 2009 - about 17 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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