Kaznatcheeva, Elena A

Kaznatcheeva, Elena A is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kaznatcheeva, Elena A can be contacted via phone (845) 342-4774.

Contact Information

Primary practice address
111 Maltese Dr Middletown NY 10940-2115
Fax: (845) 818-7555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 248811 New York

Profile Details

NPI number 1366482101
LBN Legal business name Kaznatcheeva, Elena A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 20th, 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 1366482101 NPPES
New York MEDICAID 02757642

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