Takhtovich, Andrey

Takhtovich, Andrey is an individual health care provider with primary practice located at 555 Saint Josephs Blvd , Elmira NY 14901-3223. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Takhtovich, Andrey can be contacted via phone (607) 795-8035.

Contact Information

Primary practice address
555 Saint Josephs Blvd Elmira NY 14901-3223
Phone: (607) 795-8035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 302917 New York

Profile Details

NPI number 1942707583
LBN Legal business name Takhtovich, Andrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Sep 7th, 2021 - about 5 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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