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
Fax: (203) 596-4758
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669442687 NPPES
Connecticut Other 180000891 MEDICARE PTAN

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