Poretskaya, Lyudmila
Poretskaya, Lyudmila is an sole proprietor health care provider with primary practice located at 2379 65Th St , Brooklyn NY 11204-4045. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Poretskaya, Lyudmila can be contacted via phone (718) 375-0392.Contact Information
Primary practice address
2379 65Th St
Brooklyn NY 11204-4045
Phone: (718) 375-0392
Fax: (718) 375-4324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 208817 | New York |
Profile Details
| NPI number | 1558386409 |
|---|---|
| LBN Legal business name | Poretskaya, Lyudmila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558386409 | NPPES |
| New York | MEDICAID | 01883843 |
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