Gerassimov, Ilia
Gerassimov, Ilia is an sole proprietor health care provider with primary practice located at 14 Center St , Little Ferry NJ 07643-1803. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Gerassimov, Ilia can be contacted via phone (718) 506-4515.Contact Information
Primary practice address
14 Center St
Little Ferry NJ 07643-1803
Phone: (718) 506-4515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 024648 | New York |
Profile Details
| NPI number | 1285211961 |
|---|---|
| LBN Legal business name | Gerassimov, Ilia |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2021 |
| Last updated | Mar 27th, 2021 - about 5 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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