Kuznetsov, Albert

Kuznetsov, Albert is an individual health care provider with primary practice located at 5115 Beach Channel Dr , Far Rockaway NY 11691-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kuznetsov, Albert can be contacted via phone (718) 734-2000.

Contact Information

Primary practice address
5115 Beach Channel Dr Far Rockaway NY 11691-1042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 226599 New York

Profile Details

NPI number 1427054030
LBN Legal business name Kuznetsov, Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1427054030 NPPES
New York MEDICAID 02359048

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