Xenakis, Mark
Xenakis, Mark is an individual health care provider with primary practice located at 80 20 Broadway Suite 1 M, Elmhurst NY 11373. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Xenakis, Mark can be contacted via phone (718) 779-1772.Contact Information
Primary practice address
80 20 Broadway Suite 1 M
Elmhurst NY 11373
Phone: (718) 779-1772
Fax: (718) 779-1772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 044460 | New York |
Profile Details
| NPI number | 1093787954 |
|---|---|
| LBN Legal business name | Xenakis, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093787954 | NPPES |
| New York | MEDICAID | 01532269 |
Popular Providers
-
Fetman, Svetlana
4010 82Nd St , Elmhurst NY 11373-1305 -
Zharnitsky, Mark
4010 82Nd St , Elmhurst NY 11373-1305 -
Escudero, Leyla C
40-33 76Th St Suite No 4D, Elmhurst NY 11373 -
Minching, Ivonne Aracelly
8744 Britton Avenue , Elmhurst NY 11373 -
Cho, Minsoo
8601 Justice Ave Newtown Smile Dental, Elmhurst NY 11373-4555 -
Rubinov, Tsipora
9442 58Th Ave Unite G-2 Prestige Dental, Elmhurst NY 11373-5149 -
Yhea, Samir Mahmoud
8744 Britton Avenue , Elmhurst NY 11373 -
Tiangco, Dolores Rodrigo
8708 Justice Ave Suite 2-O, Elmhurst NY 11373-4575