Bardanova, Nelli

Bardanova, Nelli is an individual health care provider with primary practice located at 7907 Metropolitan Ave , Middle Village NY 11379-2930. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bardanova, Nelli can be contacted via phone (917) 745-0470.

Contact Information

Primary practice address
7907 Metropolitan Ave Middle Village NY 11379-2930
Phone: (917) 745-0470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 018931 New York

Profile Details

NPI number 1740694587
LBN Legal business name Bardanova, Nelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2014
Last updated Jan 23rd, 2020 - about 5 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 1740694587 NPPES
New York MEDICAID 04299161

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