1134324254 NPI number — DR. EDWARD STEPHEN KONDAK D.D.S.

Table of content: DR. EDWARD STEPHEN KONDAK D.D.S. (NPI 1134324254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134324254 NPI number — DR. EDWARD STEPHEN KONDAK D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KONDAK
Provider First Name:
EDWARD
Provider Middle Name:
STEPHEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134324254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 98
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENPORT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11944-0098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-477-1177
Provider Business Mailing Address Fax Number:
631-477-1175

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 3RD ST
Provider Second Line Business Practice Location Address:
19-20 STERLINGTON COMMONS
Provider Business Practice Location Address City Name:
GREENPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11944-1640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-477-1177
Provider Business Practice Location Address Fax Number:
631-477-1175
Provider Enumeration Date:
06/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  035632 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00632866 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 035632 . This is a "LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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