Beityakov, Mordechai
Beityakov, Mordechai is an sole proprietor health care provider with primary practice located at 1455 E 24Th St , Brooklyn NY 11210-5144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beityakov, Mordechai can be contacted via phone (718) 376-7894.Contact Information
Primary practice address
1455 E 24Th St
Brooklyn NY 11210-5144
Phone: (718) 376-7894
Fax: (718) 645-3952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 203771 | New York |
Profile Details
| NPI number | 1780679530 |
|---|---|
| LBN Legal business name | Beityakov, Mordechai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Dec 4th, 2016 - about 10 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 | 1780679530 | NPPES |
| New York | MEDICAID | 01719740 |
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