Kanov, Lubomir M
Kanov, Lubomir M is an sole proprietor health care provider with primary practice located at 119 N Park Ave Suite 400, Rockville Centre NY 11570-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kanov, Lubomir M can be contacted via phone (516) 764-5574.Contact Information
Primary practice address
119 N Park Ave Suite 400
Rockville Centre NY 11570-4113
Phone: (516) 764-5574
Fax: (516) 594-4053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 180732 | New York |
Profile Details
| NPI number | 1508838442 |
|---|---|
| LBN Legal business name | Kanov, Lubomir M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2006 |
| Last updated | Nov 10th, 2011 - 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 | 1508838442 | NPPES |
| New York | MEDICAID | 01256808 |
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