Yuabov, Elizabeth

Yuabov, Elizabeth is an sole proprietor health care provider with primary practice located at 98-30 67 Avenue Suite Dd, Rego Park NY 11367. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Yuabov, Elizabeth can be contacted via phone (718) 459-1040.

Contact Information

Primary practice address
98-30 67 Avenue Suite Dd Rego Park NY 11367
Fax: (718) 459-0997
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 044984-1 New York

Profile Details

NPI number 1578739587
LBN Legal business name Yuabov, Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578739587 NPPES
New York MEDICAID 01477307

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