Yeretsky, Konstantin
Yeretsky, Konstantin is an individual health care provider with primary practice located at 2800 Marcus Avenue , Lake Success NY 11042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Yeretsky, Konstantin can be contacted via phone (516) 622-7405.Contact Information
Primary practice address
2800 Marcus Avenue
Lake Success NY 11042
Phone: (516) 622-7405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 217992 | New York |
Profile Details
| NPI number | 1134211741 |
|---|---|
| LBN Legal business name | Yeretsky, Konstantin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 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.
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