Nektalov, Yuriy
Nektalov, Yuriy is an individual health care provider with primary practice located at 9424 63Rd Dr , Rego Park NY 11374-2028. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nektalov, Yuriy can be contacted via phone (718) 997-7762.Contact Information
Primary practice address
9424 63Rd Dr
Rego Park NY 11374-2028
Phone: (718) 997-7762
Fax: (718) 897-9060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047891 | New York |
Profile Details
| NPI number | 1912017617 |
|---|---|
| LBN Legal business name | Nektalov, Yuriy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 22nd, 2008 - about 18 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 | 1912017617 | NPPES |
| New York | MEDICAID | 01899389 |
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