Kizelshteyn, Grigory Isacc

Kizelshteyn, Grigory Isacc is an individual health care provider with primary practice located at 220 Westchester Avenue , White Plains NY 10604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kizelshteyn, Grigory Isacc can be contacted via phone (914) 289-1507.

Contact Information

Primary practice address
220 Westchester Avenue White Plains NY 10604
Phone: (914) 289-1507
Fax: (914) 289-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1661111 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 1661111 New York

Profile Details

NPI number 1184667461
LBN Legal business name Kizelshteyn, Grigory Isacc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 22nd, 2010 - about 16 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 1184667461 NPPES
New York MEDICAID 01216375
New York Other P1253384
New York Other 91389

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