Zhivulko-Khavin, Anna

Zhivulko-Khavin, Anna is an sole proprietor health care provider with primary practice located at 24026 70Th Ave , Douglaston NY 11362-1948. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Zhivulko-Khavin, Anna can be contacted via phone (718) 428-4926.

Contact Information

Primary practice address
24026 70Th Ave Douglaston NY 11362-1948
Phone: (718) 428-4926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 038332 New York

Profile Details

NPI number 1063555340
LBN Legal business name Zhivulko-Khavin, Anna
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 18 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 1063555340 NPPES
New York MEDICAID 00861734

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