Kohanzadeh, Jack

Kohanzadeh, Jack is an sole proprietor health care provider with primary practice located at 233 E Shore Rd Suite # 107, Great Neck NY 11023-2433. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kohanzadeh, Jack can be contacted via phone (516) 482-7557.

Contact Information

Primary practice address
233 E Shore Rd Suite # 107 Great Neck NY 11023-2433
Phone: (516) 482-7557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NY034044 New York

Profile Details

NPI number 1750567046
LBN Legal business name Kohanzadeh, Jack
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 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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