Achildiev, Frederick B

Achildiev, Frederick B is an individual health care provider with primary practice located at 15 Park Ave , Bay Shore NY 11706-7381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Achildiev, Frederick B can be contacted via phone (631) 581-4400.

Contact Information

Primary practice address
15 Park Ave Bay Shore NY 11706-7381
Phone: (631) 581-4400
Fax: (631) 277-3750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 242230 New York

Profile Details

NPI number 1740467737
LBN Legal business name Achildiev, Frederick B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Dec 2nd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740467737 NPPES
New York Other 242230 LICENSE
New York MEDICAID 02957468 LICENSE

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