Elashvili, Kathy
Elashvili, Kathy is an sole proprietor health care provider with primary practice located at 12202 Liberty Ave , South Richmond Hill NY 11419-2114. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Elashvili, Kathy can be contacted via phone (718) 843-7001.Contact Information
Primary practice address
12202 Liberty Ave
South Richmond Hill NY 11419-2114
Phone: (718) 843-7001
Fax: (718) 843-4787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 045676 | New York |
Profile Details
| NPI number | 1922282664 |
|---|---|
| LBN Legal business name | Elashvili, Kathy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Dec 17th, 2007 - about 17 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 | 1922282664 | NPPES |
| New York | MEDICAID | 01562321 |
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