Vaksman, Inna
Vaksman, Inna is an individual health care provider with primary practice located at 5647 Myrtle Avenue 1St Floor, Ridgewood NY 11385-4744. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Vaksman, Inna can be contacted via phone (718) 417-6300.Contact Information
Primary practice address
5647 Myrtle Avenue 1St Floor
Ridgewood NY 11385-4744
Phone: (718) 417-6300
Fax: (718) 417-3535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 045227 | New York |
Profile Details
| NPI number | 1336255439 |
|---|---|
| LBN Legal business name | Vaksman, Inna |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| 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 | 1336255439 | NPPES |
| New York | MEDICAID | 01512830 |
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