Davydova, Alena R
Davydova, Alena R is an individual health care provider with primary practice located at 11945 Union Tpke , Forest Hills NY 11375-6144. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davydova, Alena R can be contacted via phone (718) 263-5500.Contact Information
Primary practice address
11945 Union Tpke
Forest Hills NY 11375-6144
Phone: (718) 263-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1801103585 |
|---|---|
| LBN Legal business name | Davydova, Alena R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2010 |
| Last updated | Sep 1st, 2010 - about 15 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 | 1801103585 | NPPES |
| New York | MEDICAID | VB21170R |
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