Koretsky, Christopher Jeffrey

Koretsky, Christopher Jeffrey is an sole proprietor health care provider with primary practice located at 430 Jerusalem Ave , Hicksville NY 11801-5504. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Koretsky, Christopher Jeffrey can be contacted via phone (516) 937-7500.

Contact Information

Primary practice address
430 Jerusalem Ave Hicksville NY 11801-5504
Phone: (516) 937-7500
Fax: (516) 937-7500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 030869 New York

Profile Details

NPI number 1376725093
LBN Legal business name Koretsky, Christopher Jeffrey
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 18 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 1376725093 NPPES
New York MEDICAID 01877123

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