Liventsov, Ilyas

Liventsov, Ilyas is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Liventsov, Ilyas can be contacted via phone (315) 464-5540.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-5540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 432158 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F432158 New York

Profile Details

NPI number 1760153985
LBN Legal business name Liventsov, Ilyas
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 2021 - about 5 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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