Blustein, Glen H
Blustein, Glen H is an sole proprietor health care provider with primary practice located at 125 Rockland Plz , Nanuet NY 10954-2212. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blustein, Glen H can be contacted via phone (201) 684-9000.Contact Information
Primary practice address
125 Rockland Plz
Nanuet NY 10954-2212
Phone: (201) 684-9000
Fax: (201) 684-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA 05364 | New Jersey |
Profile Details
| NPI number | 1609868728 |
|---|---|
| LBN Legal business name | Blustein, Glen H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 18th, 2022 - about 2 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 | 1609868728 | NPPES |
| New Jersey | Other | 2016849000 | VSP |
| New Jersey | Other | 2568836 | VSP |
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