Renda, Joseph Matthew

Renda, Joseph Matthew is an sole proprietor health care provider with primary practice located at 60 Charles Ave , Massapequa Park NY 11762-2822. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Renda, Joseph Matthew can be contacted via phone (516) 672-5752.

Contact Information

Primary practice address
60 Charles Ave Massapequa Park NY 11762-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Dental Providers / Dentist 122300000X 059963 New York

Profile Details

NPI number 1619418316
LBN Legal business name Renda, Joseph Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2017
Last updated Oct 14th, 2018 - about 8 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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