Pardo, Kenneth Mark
Pardo, Kenneth Mark is an sole proprietor health care provider with primary practice located at 22 Yale Ter , Blauvelt NY 10913-1421. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pardo, Kenneth Mark can be contacted via phone (845) 365-0449.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 034602 | New York |
Profile Details
| NPI number | 1477685113 |
|---|---|
| LBN Legal business name | Pardo, Kenneth Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 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 | 1477685113 | NPPES |
| New York | MEDICAID | 02701724 |
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