Kushner, Michael Bruce
Kushner, Michael Bruce is an individual health care provider with primary practice located at 1340 Forest Ave , Staten Island NY 10302-2002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kushner, Michael Bruce can be contacted via phone (718) 442-4440.Contact Information
Primary practice address
1340 Forest Ave
Staten Island NY 10302-2002
Phone: (718) 442-4440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 034349 | New York |
Profile Details
| NPI number | 1578552592 |
|---|---|
| LBN Legal business name | Kushner, Michael Bruce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1578552592 | NPPES |
| New York | MEDICAID | 00772358 |
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