Yefimova, Liza
Yefimova, Liza is an sole proprietor health care provider with primary practice located at 578 Travis Ave , Staten Island NY 10314-4802. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Yefimova, Liza can be contacted via phone (646) 578-0612.Contact Information
Primary practice address
578 Travis Ave
Staten Island NY 10314-4802
Phone: (646) 578-0612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X |
Profile Details
| NPI number | 1063940385 |
|---|---|
| LBN Legal business name | Yefimova, Liza |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2017 |
| Last updated | May 31st, 2017 - 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 | 1063940385 | NPPES |
| New York | MEDICAID | 251300000X |
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