Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 030219 | NY |
NPI | 1073737508 |
---|---|
Provider Name | Dr. Sheldon Jay Rintel |
First Address | Forest Hills, NY 11375-3159 |
Second Address | Forest Hills, NY 11375-3159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |