Dementyeva, Yuliya
Dementyeva, Yuliya is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Dementyeva, Yuliya can be contacted via phone (973) 754-3298.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA08302400 | New Jersey |
Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 25MA08302400 | New Jersey |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 25MA08302400 | New Jersey |
Profile Details
NPI number | 1811192255 |
---|---|
LBN Legal business name | Dementyeva, Yuliya |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2007 |
Last updated | Jul 12th, 2012 - about 12 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 | 1811192255 | NPPES |
New Jersey | MEDICAID | 153079 |
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