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
Phone: (845) 342-4774
Fax: (845) 818-7555
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366482101 | NPPES |
New York | MEDICAID | 02757642 |
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