Gavrilova, Svetlana
Gavrilova, Svetlana is an individual health care provider with primary practice located at 8900 Van Wyck Expy , Jamaica NY 11418-2832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gavrilova, Svetlana can be contacted via phone (718) 206-6894.Contact Information
Primary practice address
8900 Van Wyck Expy
Jamaica NY 11418-2832
Phone: (718) 206-6894
Fax: (718) 657-0545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 218421 | New York |
Profile Details
| NPI number | 1467411918 |
|---|---|
| LBN Legal business name | Gavrilova, Svetlana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jan 25th, 2016 - about 9 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 | 1467411918 | NPPES |
| New York | MEDICAID | 02183746 |
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