Melenevskaya, Sofia B
Melenevskaya, Sofia B is an sole proprietor health care provider with primary practice located at 319 Allston St Suite B, Brighton MA 02135. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Melenevskaya, Sofia B can be contacted via phone (617) 734-1300.Contact Information
Primary practice address
319 Allston St Suite B
Brighton MA 02135
Phone: (617) 734-1300
Fax: (617) 734-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 48371 | Massachusetts |
Profile Details
| NPI number | 1255498192 |
|---|---|
| LBN Legal business name | Melenevskaya, Sofia B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255498192 | NPPES |
| Massachusetts | MEDICAID | 3009424 |
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