Koltsova, Diana

Koltsova, Diana is an sole proprietor health care provider with primary practice located at 3437 Weidner Ave , Oceanside NY 11572-3536. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Koltsova, Diana can be contacted via phone (347) 422-4867.

Contact Information

Primary practice address
3437 Weidner Ave Oceanside NY 11572-3536
Phone: (347) 422-4867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 039160-1 New York

Profile Details

NPI number 1114475050
LBN Legal business name Koltsova, Diana
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2016
Last updated Oct 19th, 2023 - about 2 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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