Mashkabova, Lyubov

Mashkabova, Lyubov is an sole proprietor health care provider with primary practice located at 7125 171St St , Fresh Meadows NY 11365-3337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mashkabova, Lyubov can be contacted via phone (718) 925-5090.

Contact Information

Primary practice address
7125 171St St Fresh Meadows NY 11365-3337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 347324 New York

Profile Details

NPI number 1265006696
LBN Legal business name Mashkabova, Lyubov
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2021
Last updated May 19th, 2021 - about 3 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 1265006696 NPPES
New York MEDICAID 0705

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