Abboud, Elias S.

Abboud, Elias S. is an individual health care provider with primary practice located at 1304 Buckley Rd Ste 205, Syracuse NY 13212-4317. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abboud, Elias S. can be contacted via phone (315) 458-2020.

Contact Information

Primary practice address
1304 Buckley Rd Ste 205 Syracuse NY 13212-4317
Phone: (315) 458-2020
Fax: (315) 458-6522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 005077-1 New York

Profile Details

NPI number 1043291222
LBN Legal business name Abboud, Elias S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043291222 NPPES
New York MEDICAID 02221630

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