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
Fax: (718) 897-2915
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730127622 NPPES
New York MEDICAID 02772838
New York Other 234201

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