Miguel, Ricardo Omar
Miguel, Ricardo Omar is an individual health care provider with primary practice located at 341A Wadsworth Ave , New York NY 10040-3143. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miguel, Ricardo Omar can be contacted via phone (212) 795-4475.Contact Information
Primary practice address
341A Wadsworth Ave
New York NY 10040-3143
Phone: (212) 795-4475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 043710 | New York |
Profile Details
| NPI number | 1336138775 |
|---|---|
| LBN Legal business name | Miguel, Ricardo Omar |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 31st, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336138775 | NPPES |
| New York | MEDICAID | 01268620 |
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