Katayev, Michael I.

Katayev, Michael I. is an sole proprietor health care provider with primary practice located at 300 E 40Th St Ste B , New York NY 10016-2188. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Katayev, Michael I. can be contacted via phone (212) 905-0081.

Contact Information

Primary practice address
300 E 40Th St Ste B New York NY 10016-2188
Phone: (212) 905-0081
Fax: (212) 905-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052850 New York
Dental Providers / General Practice 1223G0001X 052850 New York

Profile Details

NPI number 1285843425
LBN Legal business name Katayev, Michael I.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Oct 5th, 2020 - about 6 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 1285843425 NPPES
New York Other 205319722 TAX ID
New York MEDICAID 02771566 TAX ID

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