Blazhkevich, Natalia
Blazhkevich, Natalia is an sole proprietor health care provider with primary practice located at 1110 Pennsylvania Ave Suite 3, Brooklyn NY 11207-9061. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Blazhkevich, Natalia can be contacted via phone (718) 649-6677.Contact Information
Primary practice address
1110 Pennsylvania Ave Suite 3
Brooklyn NY 11207-9061
Phone: (718) 649-6677
Fax: (718) 272-0291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048909 | New York |
Profile Details
| NPI number | 1184613416 |
|---|---|
| LBN Legal business name | Blazhkevich, Natalia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jun 14th, 2013 - about 13 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 | 1184613416 | NPPES |
| New York | MEDICAID | 02108574 |
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