Laracuente, Desiree
Laracuente, Desiree is an individual health care provider with primary practice located at 3209 82Nd St Ste 1 , East Elmhurst NY 11370-2003. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Laracuente, Desiree can be contacted via phone (718) 898-0600.Contact Information
Primary practice address
3209 82Nd St Ste 1
East Elmhurst NY 11370-2003
Phone: (718) 898-0600
Fax: (718) 898-0700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 053544 | New York |
Profile Details
| NPI number | 1922106517 |
|---|---|
| LBN Legal business name | Laracuente, Desiree |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 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 | 1922106517 | NPPES |
| New York | MEDICAID | 02901348 |
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