Khoshayev, Polina

Khoshayev, Polina is an individual health care provider with primary practice located at 82-68 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Khoshayev, Polina can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
82-68 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009130 New York

Profile Details

NPI number 1154422095
LBN Legal business name Khoshayev, Polina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 11th, 2009 - about 17 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 1154422095 NPPES
New York MEDICAID 00246075

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