Burley, Carmen
Burley, Carmen is an sole proprietor health care provider with primary practice located at 48 Main St , Massena NY 13662-1984. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Burley, Carmen can be contacted via phone (315) 764-7001.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 004732 | New York |
Profile Details
| NPI number | 1912043761 |
|---|---|
| LBN Legal business name | Burley, Carmen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Dec 22nd, 2008 - 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 | 1912043761 | NPPES |
| New York | MEDICAID | 00673327 |
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