Takhalova, Yelena
Takhalova, Yelena is an sole proprietor health care provider with primary practice located at 9949 66Th Rd Apt 2B , Rego Park NY 11374-4431. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Takhalova, Yelena can be contacted via phone (347) 656-2721.Contact Information
Primary practice address
9949 66Th Rd Apt 2B
Rego Park NY 11374-4431
Phone: (347) 656-2721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 021156 | New York |
Profile Details
| NPI number | 1114462512 |
|---|---|
| LBN Legal business name | Takhalova, Yelena |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114462512 | NPPES |
| New York | MEDICAID | 04463030 |
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