Ponomareva, Svetlana
Ponomareva, Svetlana is an individual health care provider with primary practice located at 3627 Brodway , Ny NY 10031. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ponomareva, Svetlana can be contacted via phone (212) 234-2300.Contact Information
Primary practice address
3627 Brodway
Ny NY 10031
Phone: (212) 234-2300
Fax: (212) 234-2301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 049663 | New York |
Profile Details
| NPI number | 1093796963 |
|---|---|
| LBN Legal business name | Ponomareva, Svetlana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 1st, 2016 - about 8 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 | 1093796963 | NPPES |
| New York | MEDICAID | 02224179 |
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