Ivanov, Yuriy Olegovich
Ivanov, Yuriy Olegovich is an sole proprietor health care provider with primary practice located at 1554 Northern Blvd Bldg Floor4 , Manhasset NY 11030-3053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Ivanov, Yuriy Olegovich can be contacted via phone (516) 321-6410.Contact Information
Primary practice address
1554 Northern Blvd Bldg Floor4
Manhasset NY 11030-3053
Phone: (516) 321-6410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 276396 | New York |
Profile Details
| NPI number | 1790026011 |
|---|---|
| LBN Legal business name | Ivanov, Yuriy Olegovich |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Jun 26th, 2022 - 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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