Kolesnik, Dmitriy V

Kolesnik, Dmitriy V is an individual health care provider with primary practice located at 9530 Queens Blvd , Rego Park NY 11374-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kolesnik, Dmitriy V can be contacted via phone (718) 275-7860.

Contact Information

Primary practice address
9530 Queens Blvd Rego Park NY 11374-1136
Fax: (718) 275-7882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 214729 New York

Profile Details

NPI number 1851326367
LBN Legal business name Kolesnik, Dmitriy V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 29th, 2013 - about 11 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 1851326367 NPPES
New York Other 0271GU MEDICARE PTAN
New York Other 01S641 MEDICARE PTAN
New York MEDICAID 02196023 MEDICARE PTAN
New York Other 0078AJ MEDICARE PTAN

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