Gavrielov, Linda

Gavrielov, Linda is an sole proprietor health care provider with primary practice located at 10460 Queens Blvd Apt 22G, Forest Hills NY 11375-7301. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gavrielov, Linda can be contacted via phone (917) 658-3012.

Contact Information

Primary practice address
10460 Queens Blvd Apt 22G Forest Hills NY 11375-7301
Phone: (917) 658-3012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 006739-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001284 Connecticut

Profile Details

NPI number 1639312770
LBN Legal business name Gavrielov, Linda
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2009
Last updated Feb 19th, 2015 - about 10 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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