Yagnetinsky, Gennady

Yagnetinsky, Gennady is an sole proprietor health care provider with primary practice located at 61 Boswell Rd , Putnam Valley NY 10579-2810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Yagnetinsky, Gennady can be contacted via phone (845) 603-6339.

Contact Information

Primary practice address
61 Boswell Rd Putnam Valley NY 10579-2810
Phone: (845) 603-6339
Fax: (845) 603-6339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023608-1 New York

Profile Details

NPI number 1497976161
LBN Legal business name Yagnetinsky, Gennady
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated May 5th, 2010 - about 16 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 1497976161 NPPES
New York MEDICAID 02242780

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