Manakhimova, Bella
Manakhimova, Bella is an sole proprietor health care provider with primary practice located at 382 Main St , Port Washington NY 11050-3181. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Manakhimova, Bella can be contacted via phone (516) 767-7216.Contact Information
Primary practice address
382 Main St
Port Washington NY 11050-3181
Phone: (516) 767-7216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | New York |
Profile Details
| NPI number | 1083094650 |
|---|---|
| LBN Legal business name | Manakhimova, Bella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Jan 9th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083094650 | NPPES |
| New York | MEDICAID | JXB78947V01 |
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