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Contact Information

MASSAPEQUA OPTOMETRIC CARE, P.C.
532 BROADWAY
MASSAPEQUA, NY11758
 Phone: 516-798-2635
 Fax: 516-798-0896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MASSAPEQUA OPTOMETRIC CARE PC · (Female)

NPI Number 1073562310
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2006
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # VUT005276
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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