Kaykov, Susana

Kaykov, Susana is an individual health care provider with primary practice located at 11105 Jamaica Ave , Richmond Hill NY 11418-2323. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kaykov, Susana can be contacted via phone (718) 441-3222.

Contact Information

Primary practice address
11105 Jamaica Ave Richmond Hill NY 11418-2323
Phone: (718) 441-3222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 053416 New York

Profile Details

NPI number 1134351778
LBN Legal business name Kaykov, Susana
Credentials PHARM-D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2009
Last updated Oct 26th, 2010 - about 15 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 1134351778 NPPES
New York MEDICAID 02902505

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