Shafique, Mohammad

Shafique, Mohammad is an individual health care provider with primary practice located at 718 Knickerbocker Ave , Brooklyn NY 11221-5333. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shafique, Mohammad can be contacted via phone (718) 574-9915.

Contact Information

Primary practice address
718 Knickerbocker Ave Brooklyn NY 11221-5333
Phone: (718) 574-9915
Fax: (718) 574-3333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 038023 New York

Profile Details

NPI number 1831180876
LBN Legal business name Shafique, Mohammad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
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 1831180876 NPPES
New York MEDICAID 00801501

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