Forestal, Edmise
Forestal, Edmise is an individual health care provider with primary practice located at 1839 Central Ave , Albany NY 12205-4748. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Forestal, Edmise can be contacted via phone (518) 464-0402.Contact Information
Primary practice address
1839 Central Ave
Albany NY 12205-4748
Phone: (518) 464-0402
Fax: (518) 464-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 052278 | New York |
Profile Details
| NPI number | 1497726590 |
|---|---|
| LBN Legal business name | Forestal, Edmise |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jul 9th, 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 | 1497726590 | NPPES |
| New York | Other | 9184483 | DORAL |
| New York | MEDICAID | 02772094 | DORAL |
| New York | Other | 10115236 | DORAL |
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