Sambursky, Ronald Scott

Sambursky, Ronald Scott is an individual health care provider with primary practice located at 205 Oakdale Rd , Johnson City NY 13790. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Sambursky, Ronald Scott can be contacted via phone (607) 798-0789.

Contact Information

Primary practice address
205 Oakdale Rd Johnson City NY 13790
Phone: (607) 798-0789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 0429661 New York

Profile Details

NPI number 1174531081
LBN Legal business name Sambursky, Ronald Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 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 1174531081 NPPES
New York MEDICAID 02242193

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