Shimunov, Israel

Shimunov, Israel is an individual health care provider with primary practice located at 9815 65Th Rd Apt 1B , Rego Park NY 11374-3505. 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. Shimunov, Israel can be contacted via phone (347) 247-6810.

Contact Information

Primary practice address
9815 65Th Rd Apt 1B Rego Park NY 11374-3505
Phone: (347) 247-6810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 06136301 New York

Profile Details

NPI number 1003375759
LBN Legal business name Shimunov, Israel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2019
Last updated Jun 10th, 2021 - about 5 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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