Nutskovsky, Yelena
Nutskovsky, Yelena is an individual health care provider with primary practice located at 375 W Route 59 , Spring Valley NY 10977-5360. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nutskovsky, Yelena can be contacted via phone (845) 352-5410.Contact Information
Primary practice address
375 W Route 59
Spring Valley NY 10977-5360
Phone: (845) 352-5410
Fax: (845) 352-5412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049884 | New York |
Profile Details
| NPI number | 1932154382 |
|---|---|
| LBN Legal business name | Nutskovsky, Yelena |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932154382 | NPPES |
| New York | MEDICAID | 02512861 |
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