Skutelsky, Marina
Skutelsky, Marina is an individual health care provider with primary practice located at 9229 Queens Blvd Suite 1E, Rego Park NY 11374-1056. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Skutelsky, Marina can be contacted via phone (718) 268-8225.Contact Information
Primary practice address
9229 Queens Blvd Suite 1E
Rego Park NY 11374-1056
Phone: (718) 268-8225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 033533 | New York |
Profile Details
| NPI number | 1750371464 |
|---|---|
| LBN Legal business name | Skutelsky, Marina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750371464 | NPPES |
| New York | MEDICAID | 00284006 |
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