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Contact Information

WALTER S NACINOVICH, OPHTHALMIC DISPENSER
221-04B HORACE HARDING EXPRESSWAY
BAYSIDE, NY11364
 Phone: 718-225-7400
 Fax: 718-225-7607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for WALTER S NACINOVICH · (Male)

NPI Number 1659406023
Status Active
Credentials OPHTHALMIC DISPENSER
Entity Individual
Enumeration date 02/23/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 3755
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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