Rezvin, Ekaterina M

Rezvin, Ekaterina M is an individual health care provider with primary practice located at 1680 Route 23 Ste 250 , Wayne NJ 07470-7520. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Rezvin, Ekaterina M can be contacted via phone (973) 633-1122.

Contact Information

Primary practice address
1680 Route 23 Ste 250 Wayne NJ 07470-7520
Phone: (973) 633-1122
Fax: (973) 832-7550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022526-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00496000 New Jersey

Profile Details

NPI number 1568943058
LBN Legal business name Rezvin, Ekaterina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2018
Last updated Sep 19th, 2024 - about 2 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 1568943058 NPPES
New York Other 022526 LICENSE

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