Bacchus, Mohamed Feroze
Bacchus, Mohamed Feroze is an sole proprietor health care provider with primary practice located at 356 19Th St , New York NY 10003. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bacchus, Mohamed Feroze can be contacted via phone (212) 674-4121.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | C005355 | New York |
Profile Details
| NPI number | 1184705873 |
|---|---|
| LBN Legal business name | Bacchus, Mohamed Feroze |
| Credentials | OPTICIAN OPHTHALMIC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184705873 | NPPES |
| New York | MEDICAID | 01338403 |
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