Katanov, Svetlana
Katanov, Svetlana is an sole proprietor health care provider with primary practice located at 10423 Oueens Blvd , Forest Hills NY 11375. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Katanov, Svetlana can be contacted via phone (718) 275-2500.Contact Information
Primary practice address
10423 Oueens Blvd
Forest Hills NY 11375
Phone: (718) 275-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT 6255-1 | New York |
Profile Details
| NPI number | 1003963992 |
|---|---|
| LBN Legal business name | Katanov, Svetlana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1003963992 | NPPES |
| New York | MEDICAID | 02645590 |
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