Pichichero, Glen J

Pichichero, Glen J is an sole proprietor health care provider with primary practice located at 224 Long Beach Blvd , Long Beach NY 11561-4230. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pichichero, Glen J can be contacted via phone (516) 431-2333.

Contact Information

Primary practice address
224 Long Beach Blvd Long Beach NY 11561-4230
Phone: (516) 431-2333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38761 New York

Profile Details

NPI number 1760755979
LBN Legal business name Pichichero, Glen J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2012
Last updated Feb 17th, 2012 - about 14 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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