Orbach, Jacob E

Orbach, Jacob E is an individual health care provider with primary practice located at 3973 61St St , Woodside NY 11377-3554. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Orbach, Jacob E can be contacted via phone (718) 429-5656.

Contact Information

Primary practice address
3973 61St St Woodside NY 11377-3554
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051503 New York

Profile Details

NPI number 1295806883
LBN Legal business name Orbach, Jacob E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 15 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 1295806883 NPPES
New York MEDICAID 02567297

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