Shalomova, Elina

Shalomova, Elina is an individual health care provider with primary practice located at 9810 64Th Ave Apt 3H , Rego Park NY 11374-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shalomova, Elina can be contacted via phone (917) 517-9743.

Contact Information

Primary practice address
9810 64Th Ave Apt 3H Rego Park NY 11374-2502
Phone: (917) 517-9743
Fax: (917) 517-9743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011421 New York

Profile Details

NPI number 1487755336
LBN Legal business name Shalomova, Elina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Apr 18th, 2011 - about 13 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 1487755336 NPPES
New York MEDICAID 00246075

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