Azernov, Mikhail
Azernov, Mikhail is an individual health care provider with primary practice located at 189 Wheatley Rd , Glen Head NY 11545-2641. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Azernov, Mikhail can be contacted via phone (516) 686-4496.Contact Information
Primary practice address
189 Wheatley Rd
Glen Head NY 11545-2641
Phone: (516) 686-4496
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-24-76662 | New York |
Profile Details
| NPI number | 1215695796 |
|---|---|
| LBN Legal business name | Azernov, Mikhail |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2021 |
| Last updated | Apr 6th, 2025 - about last year |
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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