Fattakhov, Vyacheslav
Fattakhov, Vyacheslav is an individual health care provider with primary practice located at 108 Burnham Ave , Roslyn Heights NY 11577-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fattakhov, Vyacheslav can be contacted via phone (718) 795-7586.Contact Information
Primary practice address
108 Burnham Ave
Roslyn Heights NY 11577-1935
Phone: (718) 795-7586
Fax: (347) 826-4155
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 231594-1 | New York |
Profile Details
NPI number | 1952395303 |
---|---|
LBN Legal business name | Fattakhov, Vyacheslav |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | May 1st, 2013 - about 11 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 | 1952395303 | NPPES |
New York | MEDICAID | 02591748 | |
New York | Other | WHNA21 |
Popular Providers
-
Kenaston, Jessica
66 Powerhouse Rd 3Rd Floor, Roslyn Heights NY 11577-1372 -
Montalmant, Fritzline Laura
100 Port Washington Blvd , Roslyn NY 11576-1347 -
Lee, Maria Flaviana
89 Hamilton Drive , Roslyn NY 11576-3128 -
Soomekh, Parviz
8 Verity Ln , Roslyn NY 11576 -
Chan, Ching Hong
100 Port Washington Blvd , Roslyn NY 11576-1353 -
Berkay, H. Sinan
100 Port Washington Blvd , Roslyn NY 11576-1353 -
Kates, Robert
100 Port Washington Blvd , Roslyn NY 11576-1353 -
Phillips, Lisa S.
100 Port Washington Blvd , Roslyn NY 11576-1353