Vazquez, Ivan A

Vazquez, Ivan A is an sole proprietor health care provider with primary practice located at 801 Motor Pkwy , Hauppauge NY 11788-5256. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Vazquez, Ivan A can be contacted via phone (631) 348-1501.

Contact Information

Primary practice address
801 Motor Pkwy Hauppauge NY 11788-5256
Phone: (631) 348-1501
Fax: (631) 851-9334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 043487 New York

Profile Details

NPI number 1811986557
LBN Legal business name Vazquez, Ivan A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 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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