Haidatov, Kristina
Haidatov, Kristina is an sole proprietor health care provider with primary practice located at 21519 73Rd Ave , Oakland Gardens NY 11364-2928. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haidatov, Kristina can be contacted via phone (718) 819-8477.Contact Information
Primary practice address
21519 73Rd Ave
Oakland Gardens NY 11364-2928
Phone: (718) 819-8477
Fax: (718) 819-8534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 008824 | New York |
Profile Details
| NPI number | 1811482102 |
|---|---|
| LBN Legal business name | Haidatov, Kristina |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2018 |
| Last updated | Apr 18th, 2023 - about 2 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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