Vasilyeva, Daria

Vasilyeva, Daria is an individual health care provider with primary practice located at 630 W 168Th St , New York NY 10032-3725. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Vasilyeva, Daria can be contacted via phone (212) 305-4552.

Contact Information

Primary practice address
630 W 168Th St New York NY 10032-3725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 062977 New York

Profile Details

NPI number 1396301503
LBN Legal business name Vasilyeva, Daria
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Jan 2nd, 2024 - about last year

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 1396301503 NPPES
Other 390200000X N/A

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