Fetman, Svetlana

Fetman, Svetlana is an individual health care provider with primary practice located at 4010 82Nd St , Elmhurst NY 11373-1305. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fetman, Svetlana can be contacted via phone (718) 426-3333.

Contact Information

Primary practice address
4010 82Nd St Elmhurst NY 11373-1305
Fax: (718) 426-6387
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041015 New York

Profile Details

NPI number 1831360957
LBN Legal business name Fetman, Svetlana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831360957 NPPES
New York MEDICAID 01110287

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