Escudero, Leyla C
Escudero, Leyla C is an individual health care provider with primary practice located at 40-33 76Th St Suite No 4D, Elmhurst NY 11373. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Escudero, Leyla C can be contacted via phone (718) 458-7426.Contact Information
Primary practice address
40-33 76Th St Suite No 4D
Elmhurst NY 11373
Phone: (718) 458-7426
Fax: (718) 672-5591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 043063 | New York |
Profile Details
| NPI number | 1033190855 |
|---|---|
| LBN Legal business name | Escudero, Leyla C |
| Credentials | |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033190855 | NPPES |
| New York | Other | 9177351 | DORAL |
| New York | MEDICAID | 01239261 | DORAL |
| New York | Other | 02303 | DORAL |
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