Provider Demographics
NPI:1093211989
Name:PINCHASSOV, SIGALITA
Entity Type:Individual
Prefix:
First Name:SIGALITA
Middle Name:
Last Name:PINCHASSOV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14130 PERSHING CRES APT 3G
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1917
Mailing Address - Country:US
Mailing Address - Phone:718-698-3247
Mailing Address - Fax:
Practice Address - Street 1:14130 PERSHING CRES APT 3G
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1917
Practice Address - Country:US
Practice Address - Phone:718-698-3247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2018-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program