Bagdasarian, Simona

Bagdasarian, Simona is an individual health care provider with primary practice located at 6535 Woodhaven Blvd , Rego Park NY 11374-5047. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bagdasarian, Simona can be contacted via phone (718) 520-6744.

Contact Information

Primary practice address
6535 Woodhaven Blvd Rego Park NY 11374-5047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 042254 New York

Profile Details

NPI number 1316128093
LBN Legal business name Bagdasarian, Simona
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Nov 21st, 2007 - about 18 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 1316128093 NPPES
New York MEDICAID 18

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