Brzezicki, John Myron

Brzezicki, John Myron is an sole proprietor health care provider with primary practice located at 6421 W Quaker St , Orchard Park NY 14127-2354. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brzezicki, John Myron can be contacted via phone (716) 662-4525.

Contact Information

Primary practice address
6421 W Quaker St Orchard Park NY 14127-2354
Fax: (716) 662-4138
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002605 New York

Profile Details

NPI number 1073612560
LBN Legal business name Brzezicki, John Myron
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073612560 NPPES
New York MEDICAID 00654751

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