Onefater, Vladimir

Onefater, Vladimir is an sole proprietor health care provider with primary practice located at 9785 Queens Blvd , Rego Park NY 11374. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Onefater, Vladimir can be contacted via phone (718) 261-9100.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 220248 New York
Other Service Providers / Legal Medicine 173000000X 220248 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 220248 New York

Profile Details

NPI number 1164491890
LBN Legal business name Onefater, Vladimir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Mar 10th, 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 1164491890 NPPES
New York MEDICAID 02133017

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