Potylitsina, Yelena
Potylitsina, Yelena is an sole proprietor health care provider with primary practice located at 1270 Highway 35 Suite 1, Middletown NJ 07748-2014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Potylitsina, Yelena can be contacted via phone (732) 671-1155.Contact Information
Primary practice address
1270 Highway 35 Suite 1
Middletown NJ 07748-2014
Phone: (732) 671-1155
Fax: (732) 671-9630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA08017300 | New Jersey |
Profile Details
| NPI number | 1568592632 |
|---|---|
| LBN Legal business name | Potylitsina, Yelena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 14th, 2012 - about 14 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 | 1568592632 | NPPES |
| New Jersey | MEDICAID | 0139980 |
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