Risotto, Thomas John

Risotto, Thomas John is an individual health care provider with primary practice located at 369 E Main St Suite 2, East Islip NY 11730-2800. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Risotto, Thomas John can be contacted via phone (631) 277-5566.

Contact Information

Primary practice address
369 E Main St Suite 2 East Islip NY 11730-2800
Phone: (631) 277-5566
Fax: (631) 277-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 029152 New York

Profile Details

NPI number 1326057845
LBN Legal business name Risotto, Thomas John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326057845 NPPES
New York MEDICAID 00626848

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