Ostrovsky, Paul David
Ostrovsky, Paul David is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ostrovsky, Paul David can be contacted via phone (505) 722-1162.Contact Information
Primary practice address
516 Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1162
Fax: (505) 722-1192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 140833 | New York |
Profile Details
| NPI number | 1396741617 |
|---|---|
| LBN Legal business name | Ostrovsky, Paul David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 5th, 2009 - about 15 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 | 1396741617 | NPPES |
| Arizona | MEDICAID | 453172 |
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