Kasminoff, June G

Kasminoff, June G is an sole proprietor health care provider with primary practice located at 666 Old Bethpage Rd , Old Bethpage NY 11804-1219. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Kasminoff, June G can be contacted via phone (516) 586-4055.

Contact Information

Primary practice address
666 Old Bethpage Rd Old Bethpage NY 11804-1219
Phone: (516) 586-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N004947 New York

Profile Details

NPI number 1154414530
LBN Legal business name Kasminoff, June G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Nov 30th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154414530 NPPES
New York Other 113298176 TAX ID
New York MEDICAID 06149238 TAX ID
New York Other P60351 TAX ID

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