Factourovich, Alexander Yakov
Factourovich, Alexander Yakov is an sole proprietor health care provider with primary practice located at 10-42 Mitchell Ave , Binghamton NY 13903-1617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Factourovich, Alexander Yakov can be contacted via phone (607) 762-2990.Contact Information
Primary practice address
10-42 Mitchell Ave
Binghamton NY 13903-1617
Phone: (607) 762-2990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 233180 | New York |
Profile Details
| NPI number | 1265483481 |
|---|---|
| LBN Legal business name | Factourovich, Alexander Yakov |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Dec 24th, 2015 - about 9 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 | 1265483481 | NPPES |
| New York | MEDICAID | 02601632 |
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