Buan-Jacomina, Ana Liza
Buan-Jacomina, Ana Liza is an sole proprietor health care provider with primary practice located at 2110 1St Ave #703, New York NY 10029-3310. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Buan-Jacomina, Ana Liza can be contacted via phone (212) 400-8477.Contact Information
Primary practice address
2110 1St Ave #703
New York NY 10029-3310
Phone: (212) 400-8477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 007989-1 | New York |
Profile Details
| NPI number | 1558560078 |
|---|---|
| LBN Legal business name | Buan-Jacomina, Ana Liza |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jul 13th, 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 | 1558560078 | NPPES |
| New York | MEDICAID | 02554227 |
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