Katayev, Boris
Katayev, Boris is an individual health care provider with primary practice located at 130 Garth Rd , Scarsdale NY 10583-3750. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Katayev, Boris can be contacted via phone (914) 472-1555.Contact Information
Primary practice address
130 Garth Rd
Scarsdale NY 10583-3750
Phone: (914) 472-1555
Fax: (914) 472-0399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048857-1 | New York |
Profile Details
| NPI number | 1144356247 |
|---|---|
| LBN Legal business name | Katayev, Boris |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144356247 | NPPES |
| New York | Other | 048857-1 | LICENCE |
| New York | MEDICAID | 02150452 | LICENCE |
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