Homayoon, Walter
Homayoon, Walter is an individual health care provider with primary practice located at 669 Lanson St , Bohemia NY 11716-3403. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Homayoon, Walter can be contacted via phone (631) 567-4584.Contact Information
Primary practice address
669 Lanson St
Bohemia NY 11716-3403
Phone: (631) 567-4584
Fax: (631) 567-3683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 045053 | New York |
Profile Details
| NPI number | 1568634624 |
|---|---|
| LBN Legal business name | Homayoon, Walter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2008 |
| Last updated | Mar 29th, 2008 - about 18 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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