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Contact Information

PINE BUSH OPTOMETRIC PC
70 MAIN STREET
PINE BUSH, NY12566
 Phone: 845-744-2003
 Fax: 845-744-6260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PINE BUSH OPTOMETRIC PC · (Female)

NPI Number 1326143173
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 08/14/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # TUV006249-1
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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