Bentsianov, Boris
Bentsianov, Boris is an sole proprietor health care provider with primary practice located at 40 West Brighton Avenue Suite 103, Brooklyn NY 11224-8440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bentsianov, Boris can be contacted via phone (718) 996-2260.Contact Information
Primary practice address
40 West Brighton Avenue Suite 103
Brooklyn NY 11224-8440
Phone: (718) 996-2260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 211012 | New York |
Profile Details
| NPI number | 1407816747 |
|---|---|
| LBN Legal business name | Bentsianov, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407816747 | NPPES |
| New York | MEDICAID | 02212619 |
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