Elyaguov, Jason Yechiel
Elyaguov, Jason Yechiel is an sole proprietor health care provider with primary practice located at 19 Bradhurst Ave Ste 1900 , Hawthorne NY 10532-2137. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Elyaguov, Jason Yechiel can be contacted via phone (914) 347-1900.Contact Information
Primary practice address
19 Bradhurst Ave Ste 1900
Hawthorne NY 10532-2137
Phone: (914) 347-1900
Fax: (914) 347-1957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 314979 | New York |
Profile Details
| NPI number | 1558894899 |
|---|---|
| LBN Legal business name | Elyaguov, Jason Yechiel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2017 |
| Last updated | Sep 11th, 2023 - about last year |
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 | 1558894899 | NPPES |
| New York | MEDICAID | 07125051 |
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