Khaylomsky, Lena
Khaylomsky, Lena is an sole proprietor health care provider with primary practice located at 4100 Park Ave , Weehawken NJ 07086-6196. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Khaylomsky, Lena can be contacted via phone (201) 348-1616.Contact Information
Primary practice address
4100 Park Ave
Weehawken NJ 07086-6196
Phone: (201) 348-1616
Fax: (201) 348-4877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22424 | New Jersey |
Profile Details
| NPI number | 1417107178 |
|---|---|
| LBN Legal business name | Khaylomsky, Lena |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Feb 2nd, 2015 - about 10 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 | 1417107178 | NPPES |
| New Jersey | MEDICAID | 0038792 |
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