Joutovsky, Alla R.
Joutovsky, Alla R. is an individual health care provider with primary practice located at 222 Station Plz N Suite 606, Mineola NY 11501-3808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Joutovsky, Alla R. can be contacted via phone (516) 663-2468.Contact Information
Primary practice address
222 Station Plz N Suite 606
Mineola NY 11501-3808
Phone: (516) 663-2468
Fax: (516) 663-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 229396 | New York |
Profile Details
| NPI number | 1730141847 |
|---|---|
| LBN Legal business name | Joutovsky, Alla R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730141847 | NPPES |
| New York | MEDICAID | 02677576 |
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