Zolotarevskaya, Irina
Zolotarevskaya, Irina is an sole proprietor health care provider with primary practice located at 9785 Queens Blvd , Rego Park NY 11374-3319. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Zolotarevskaya, Irina can be contacted via phone (718) 261-9100.Contact Information
Primary practice address
9785 Queens Blvd
Rego Park NY 11374-3319
Phone: (718) 261-9100
Fax: (718) 897-2915
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 234201 | New York |
Profile Details
NPI number | 1730127622 |
---|---|
LBN Legal business name | Zolotarevskaya, Irina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2006 |
Last updated | Apr 2nd, 2021 - about 3 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 | 1730127622 | NPPES |
New York | MEDICAID | 02772838 | |
New York | Other | 234201 |
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