Kholodny, Irina

Kholodny, Irina is an individual health care provider with primary practice located at 585 Broadway , Massapequa NY 11758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kholodny, Irina can be contacted via phone (516) 797-2146.

Contact Information

Primary practice address
585 Broadway Massapequa NY 11758
Phone: (516) 797-2146
Fax: (516) 797-0190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006415 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0064151 New York

Profile Details

NPI number 1255519617
LBN Legal business name Kholodny, Irina
Credentials R-PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Jul 11th, 2008 - about 17 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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