Ikonnikow, Kristina
Ikonnikow, Kristina is an sole proprietor health care provider with primary practice located at 41 Patricia Ln , Lake Grove NY 11755-2840. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ikonnikow, Kristina can be contacted via phone (631) 312-1150.Contact Information
Primary practice address
41 Patricia Ln
Lake Grove NY 11755-2840
Phone: (631) 312-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1080470161 | New York |
Profile Details
| NPI number | 1689124893 |
|---|---|
| LBN Legal business name | Ikonnikow, Kristina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2016 |
| Last updated | Oct 12th, 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.
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