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
Fax: (845) 352-5412
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932154382 NPPES
New York MEDICAID 02512861

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