Lyalin, Oleg

Lyalin, Oleg is an individual health care provider with primary practice located at 807A Utica Ave , Brooklyn NY 11203-3410. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lyalin, Oleg can be contacted via phone (718) 922-0237.

Contact Information

Primary practice address
807A Utica Ave Brooklyn NY 11203-3410
Phone: (718) 922-0237
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045561 New York

Profile Details

NPI number 1639168768
LBN Legal business name Lyalin, Oleg
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Feb 13th, 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 1639168768 NPPES
New York Other 105879 DORAL
New York MEDICAID 01505637 DORAL

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