Ferreira, Eddy A

Ferreira, Eddy A is an sole proprietor health care provider with primary practice located at 3564 79Th St , Jackson Heights NY 11372-4817. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ferreira, Eddy A can be contacted via phone (718) 478-4242.

Contact Information

Primary practice address
3564 79Th St Jackson Heights NY 11372-4817
Phone: (718) 478-4242
Fax: (718) 478-4475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043295 New York

Profile Details

NPI number 1972592012
LBN Legal business name Ferreira, Eddy A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Nov 30th, 2012 - about 13 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 1972592012 NPPES
New York MEDICAID 01226140
New York Other 0008223

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