Kostina, Yanina
Kostina, Yanina is an individual health care provider with primary practice located at 1201 W Main St Suite 100, Waterbury CT 06708-3105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kostina, Yanina can be contacted via phone (203) 597-9100.Contact Information
Primary practice address
1201 W Main St Suite 100
Waterbury CT 06708-3105
Phone: (203) 597-9100
Fax: (203) 596-4758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 038708 | Connecticut |
Profile Details
| NPI number | 1669442687 |
|---|---|
| LBN Legal business name | Kostina, Yanina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 26th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669442687 | NPPES |
| Connecticut | Other | 180000891 | MEDICARE PTAN |
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