National Provider Identifier Database

MITCHELL GANTMAN, OPTICIAN – NPI #1285884031
Optician


Contact Information

MITCHELL GANTMAN, OPTICIAN
1562 UNION TURNPIKE
NEW HYDE PARK, NY11040
Phone: 516-352-2316
Fax: 516-352-4568
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MITCHELL GANTMAN

NPI Number 1285884031
Credentials OPTICIAN
Entity Individual
Enumeration date 09/29/2008
Last updated 03/12/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 5042
Hospital affiliation n/a

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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