Atanassov, Krassimir

Atanassov, Krassimir is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Atanassov, Krassimir can be contacted via phone (845) 333-7575.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Fax: (845) 333-1343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME128544 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 263018 New York

Profile Details

NPI number 1003054214
LBN Legal business name Atanassov, Krassimir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2009
Last updated Mar 17th, 2018 - about 6 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 1003054214 NPPES
New York MEDICAID 03596898

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