Isakova, Marina
Isakova, Marina is an sole proprietor health care provider with primary practice located at 9730 57Th Ave , Corona NY 11368-3501. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Isakova, Marina can be contacted via phone (718) 271-5790.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 044507 | New York |
Profile Details
| NPI number | 1043291974 |
|---|---|
| LBN Legal business name | Isakova, Marina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jan 14th, 2008 - about 16 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 | 1043291974 | NPPES |
| New York | MEDICAID | 01412817 |
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