Gorbatsevich, Alexander
Gorbatsevich, Alexander is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gorbatsevich, Alexander can be contacted via phone (631) 473-1320.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 473-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 240964 | New York |
Profile Details
| NPI number | 1538161005 |
|---|---|
| LBN Legal business name | Gorbatsevich, Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538161005 | NPPES |
| New York | MEDICAID | 02864955 |
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