Kassover, Baruch

Kassover, Baruch is an sole proprietor health care provider with primary practice located at 2001 Ocean Blvd , Atlantic Beach NY 11509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kassover, Baruch can be contacted via phone (516) 371-0765.

Contact Information

Primary practice address
2001 Ocean Blvd Atlantic Beach NY 11509
Phone: (516) 371-0765
Fax: (516) 371-2866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 183113 New York

Profile Details

NPI number 1467554840
LBN Legal business name Kassover, Baruch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467554840 NPPES
New York MEDICAID 01495523
New York Other 2500300
New York Other P406990
New York Other 2C1296
New York Other 00074
New York Other 1003605

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