Butala, Palak

Butala, Palak is an individual health care provider with primary practice located at 2965 Sheridan Dr , Tonawanda NY 14150-9418. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Butala, Palak can be contacted via phone (716) 262-9297.

Contact Information

Primary practice address
2965 Sheridan Dr Tonawanda NY 14150-9418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV008339 New York

Profile Details

NPI number 1730563305
LBN Legal business name Butala, Palak
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Apr 19th, 2016 - about 9 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 1730563305 NPPES
New York Other TUV008339 NEW YORK STATE LICENSE NUMBER

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