Shabtai, Yeranen

Shabtai, Yeranen is an individual health care provider with primary practice located at 70 Middle Neck Road Suite 4, Great Neck NY 11021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shabtai, Yeranen can be contacted via phone (516) 829-8900.

Contact Information

Primary practice address
70 Middle Neck Road Suite 4 Great Neck NY 11021
Phone: (516) 829-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 43100 New York

Profile Details

NPI number 1144328154
LBN Legal business name Shabtai, Yeranen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 26th, 2013 - about 13 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 1144328154 NPPES
New York MEDICAID 01238483

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