Poretskaya, Lyudmila

Poretskaya, Lyudmila is an sole proprietor health care provider with primary practice located at 2379 65Th St , Brooklyn NY 11204-4045. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Poretskaya, Lyudmila can be contacted via phone (718) 375-0392.

Contact Information

Primary practice address
2379 65Th St Brooklyn NY 11204-4045
Fax: (718) 375-4324
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 208817 New York

Profile Details

NPI number 1558386409
LBN Legal business name Poretskaya, Lyudmila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Nov 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558386409 NPPES
New York MEDICAID 01883843

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