Rafailov, Elchin

Rafailov, Elchin is an individual health care provider with primary practice located at 1659 Bath Ave , Brooklyn NY 11214-4509. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Rafailov, Elchin can be contacted via phone (212) 920-0133.

Contact Information

Primary practice address
1659 Bath Ave Brooklyn NY 11214-4509
Phone: (212) 920-0133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X B02920 New York

Profile Details

NPI number 1336675776
LBN Legal business name Rafailov, Elchin
Credentials LIVERY CAR SERVICE
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2017
Last updated May 4th, 2017 - about 9 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 1336675776 NPPES
New York MEDICAID 47-4929209

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