Smirnov, Viktor B

Smirnov, Viktor B is an individual health care provider with primary practice located at 300 Old Country Rd Ste 101 , Mineola NY 11501-4112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smirnov, Viktor B can be contacted via phone (516) 741-4138.

Contact Information

Primary practice address
300 Old Country Rd Ste 101 Mineola NY 11501-4112
Phone: (516) 741-4138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15973 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 15973-1 New York

Profile Details

NPI number 1093891277
LBN Legal business name Smirnov, Viktor B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated May 3rd, 2023 - about 3 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 1093891277 NPPES
New York MEDICAID 00972743

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