Ukrainsky, Gennady
Ukrainsky, Gennady is an sole proprietor health care provider with primary practice located at 10812 72Nd Ave 3Rd Floor, Forest Hills NY 11375-7079. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ukrainsky, Gennady can be contacted via phone (718) 544-9300.Contact Information
Primary practice address
10812 72Nd Ave 3Rd Floor
Forest Hills NY 11375-7079
Phone: (718) 544-9300
Fax: (718) 544-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 234912 | New York |
Profile Details
| NPI number | 1700845187 |
|---|---|
| LBN Legal business name | Ukrainsky, Gennady |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 19th, 2016 - about 8 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 | 1700845187 | NPPES |
| New York | MEDICAID | 02661567 |
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