Gubernikoff, George
Gubernikoff, George is an sole proprietor health care provider with primary practice located at 120 Mineola Blvd Suite 500, Mineola NY 11501-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gubernikoff, George can be contacted via phone (516) 663-2046.Contact Information
Primary practice address
120 Mineola Blvd Suite 500
Mineola NY 11501-4073
Phone: (516) 663-2046
Fax: (516) 663-2054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 152964 | New York |
Profile Details
| NPI number | 1447246988 |
|---|---|
| LBN Legal business name | Gubernikoff, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Feb 24th, 2021 - about 3 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 | 1447246988 | NPPES |
| New York | MEDICAID | 00966129 |
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