Natanov, Inessa

Natanov, Inessa is an sole proprietor health care provider with primary practice located at 9785 Queens Blvd , Rego Park NY 11374-3319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Natanov, Inessa can be contacted via phone (718) 261-9100.

Contact Information

Primary practice address
9785 Queens Blvd Rego Park NY 11374-3319
Fax: (718) 897-2915
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011968 New York

Profile Details

NPI number 1164690913
LBN Legal business name Natanov, Inessa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2008
Last updated Feb 1st, 2012 - about 12 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 1164690913 NPPES
New York Other 011968 LICENSE

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