Individual
DR. EDDY A FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3564 79TH ST, JACKSON HEIGHTS, NY 11372-4817
(718) 478-4242
(718) 478-4475
Mailing address
3564 79TH ST, JACKSON HEIGHTS, NY 11372-4817
(718) 478-4242
(718) 478-4475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008223
DORAL PROVIDER #
NY
05
—
01226140
—
NY
Enumeration date
10/20/2005
Last updated
11/30/2012
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