Lakhchakov, Rafail

Lakhchakov, Rafail is an individual health care provider with primary practice located at 13506 Jamaica Ave , Richmond Hill NY 11418-1957. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lakhchakov, Rafail can be contacted via phone (718) 262-0720.

Contact Information

Primary practice address
13506 Jamaica Ave Richmond Hill NY 11418-1957
Fax: (718) 262-8066
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 056753 New York

Profile Details

NPI number 1447518758
LBN Legal business name Lakhchakov, Rafail
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Oct 30th, 2019 - about 5 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 1447518758 NPPES
New York MEDICAID 1447518758

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