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Contact Information

ALLEN M GOLIBERSUCH
12444 BROADWAY ST.
ALDEN, NY14004
 Phone: 716-937-8888
 Fax: 716-937-8889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for ALLEN M GOLIBERSUCH · (Male)

NPI Number 1073884912
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2012
Last updated 01/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # NY8737
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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