Konnikov, Nellie

Konnikov, Nellie is an individual health care provider with primary practice located at 150 S Hungtington Ave , Boston MA 02130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Konnikov, Nellie can be contacted via phone (857) 364-4757.

Contact Information

Primary practice address
150 S Hungtington Ave Boston MA 02130
Phone: (857) 364-4757
Fax: (857) 364-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Massachusetts
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 50447 Massachusetts

Profile Details

NPI number 1376646638
LBN Legal business name Konnikov, Nellie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 21st, 2022 - about 3 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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