Rezvin, Ekaterina M
Rezvin, Ekaterina M is an individual health care provider with primary practice located at 1680 Route 23 Ste 250 , Wayne NJ 07470-7520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Rezvin, Ekaterina M can be contacted via phone (973) 633-1122.Contact Information
Primary practice address
1680 Route 23 Ste 250
Wayne NJ 07470-7520
Phone: (973) 633-1122
Fax: (973) 832-7550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 022526 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 25MP00496000 | New Jersey |
Profile Details
| NPI number | 1568943058 |
|---|---|
| LBN Legal business name | Rezvin, Ekaterina M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2018 |
| Last updated | Nov 10th, 2020 - about 5 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 | 1568943058 | NPPES |
| New York | Other | 022526 | LICENSE |
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