Azernov, Mikhail

Azernov, Mikhail is an individual health care provider with primary practice located at 1069 Hempstead Tpke # 1 , Franklin Square NY 11010-2631. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Azernov, Mikhail can be contacted via phone (516) 865-1146.

Contact Information

Primary practice address
1069 Hempstead Tpke # 1 Franklin Square NY 11010-2631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB700300 New York

Profile Details

NPI number 1215695796
LBN Legal business name Azernov, Mikhail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2021
Last updated Dec 2nd, 2021 - about 3 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.

Request for update

Popular Providers