Labrada, Ismari E

Labrada, Ismari E is an sole proprietor health care provider with primary practice located at 2200 New York Ave , Union City NJ 07087-4502. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Labrada, Ismari E can be contacted via phone (201) 863-0426.

Contact Information

Primary practice address
2200 New York Ave Union City NJ 07087-4502
Fax: (201) 758-5566
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 22DI02261700 New Jersey

Profile Details

NPI number 1982659975
LBN Legal business name Labrada, Ismari E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Feb 27th, 2015 - about 10 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 1982659975 NPPES
New Jersey MEDICAID 0066443

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