Tartsakov, Vlada

Tartsakov, Vlada is an individual health care provider with primary practice located at 7813 153Rd Ave Ste 1 , Howard Beach NY 11414-1771. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Tartsakov, Vlada can be contacted via phone (718) 374-3917.

Contact Information

Primary practice address
7813 153Rd Ave Ste 1 Howard Beach NY 11414-1771
Phone: (718) 374-3917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 682891121 New York

Profile Details

NPI number 1922352590
LBN Legal business name Tartsakov, Vlada
Credentials MSWB
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 12 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 1922352590 NPPES
New York Other 08EI124711R1X00 CITY PRO GROUP INC

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