Osipova, Lada
Osipova, Lada is an sole proprietor health care provider with primary practice located at 747 Montauk Hwy , West Islip NY 11795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Osipova, Lada can be contacted via phone (631) 321-1286.Contact Information
Primary practice address
747 Montauk Hwy
West Islip NY 11795
Phone: (631) 321-1286
Fax: (631) 321-1379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 215517 | New York |
Profile Details
| NPI number | 1982679023 |
|---|---|
| LBN Legal business name | Osipova, Lada |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 13th, 2009 - about 16 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 | 1982679023 | NPPES |
| New York | MEDICAID | 02160025 | |
| New York | Other | 50V291 |
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