Fedorov, Alina
Fedorov, Alina is an sole proprietor health care provider with primary practice located at 457 Adams Ave , Staten Island NY 10306-5422. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fedorov, Alina can be contacted via phone (347) 631-5441.Contact Information
Primary practice address
457 Adams Ave
Staten Island NY 10306-5422
Phone: (347) 631-5441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 2873123 | New York |
Profile Details
| NPI number | 1205443744 |
|---|---|
| LBN Legal business name | Fedorov, Alina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2020 |
| Last updated | Sep 29th, 2020 - about 4 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 | 1205443744 | NPPES |
| New York | Other | 256327544 | NYS DMV |
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