Gavrilova, Elina

Gavrilova, Elina is an individual health care provider with primary practice located at 3141 45Th St , Long Island City NY 11103-1621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gavrilova, Elina can be contacted via phone (718) 721-1500.

Contact Information

Primary practice address
3141 45Th St Long Island City NY 11103-1621
Phone: (718) 721-1500
Fax: (718) 777-1623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011611 New York

Profile Details

NPI number 1174726095
LBN Legal business name Gavrilova, Elina
Credentials R-PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 2007 - 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 1174726095 NPPES
New York Other 11-2990594 GROUP TAX ID

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