Ovrutsky, Dmitry
Ovrutsky, Dmitry is an individual health care provider with primary practice located at 5 N William St , Pearl River NY 10965-2316. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ovrutsky, Dmitry can be contacted via phone (845) 735-7770.Contact Information
Primary practice address
5 N William St
Pearl River NY 10965-2316
Phone: (845) 735-7770
Fax: (845) 735-3986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 050128 | New York |
Profile Details
| NPI number | 1982677647 |
|---|---|
| LBN Legal business name | Ovrutsky, Dmitry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jun 27th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982677647 | NPPES |
| New York | MEDICAID | 02373586 |
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