National Provider Identifier Database

IGOR KIZHNERMAN, OPTICIAN – NPI #1679674519
Optician


Contact Information

IGOR KIZHNERMAN, OPTICIAN
16803 JAMAICA AVE
JAMAICA, NY11432
Phone: 718-657-4170
Fax: 718-657-4171
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for IGOR KIZHNERMAN

NPI Number 1679674519
Credentials OPTICIAN
Entity Individual
Enumeration date 09/25/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 006787-1
  • NY Medicaid: 02256417
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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