Goncharuk, Andrey
Goncharuk, Andrey is an individual health care provider with primary practice located at 300 Old Country Rd Suite 111, Mineola NY 11501-4198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Goncharuk, Andrey can be contacted via phone (516) 745-0500.Contact Information
Primary practice address
300 Old Country Rd Suite 111
Mineola NY 11501-4198
Phone: (516) 745-0500
Fax: (516) 745-1534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 199896 | New York |
Profile Details
| NPI number | 1356349922 |
|---|---|
| LBN Legal business name | Goncharuk, Andrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Aug 9th, 2012 - about 14 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 | 1356349922 | NPPES |
| New York | MEDICAID | 01888637 |
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