Ma, Phoebe Tin Tin

Ma, Phoebe Tin Tin is an sole proprietor health care provider with primary practice located at 98 E. Broadway Suite 501, New York NY 10002-7181. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ma, Phoebe Tin Tin can be contacted via phone (212) 227-4349.

Contact Information

Primary practice address
98 E. Broadway Suite 501 New York NY 10002-7181
Fax: (212) 227-3216
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 047792 New York

Profile Details

NPI number 1427047406
LBN Legal business name Ma, Phoebe Tin Tin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Mar 4th, 2015 - about 11 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 1427047406 NPPES
New York MEDICAID 01892277

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