Chan-Englender, Elzie C.
Chan-Englender, Elzie C. is an sole proprietor health care provider with primary practice located at 107-20 71St Continental Avenue , Forest Hills NY 11375-0000. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chan-Englender, Elzie C. can be contacted via phone (718) 544-2200.Contact Information
Primary practice address
107-20 71St Continental Avenue
Forest Hills NY 11375-0000
Phone: (718) 544-2200
Fax: (718) 544-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TPOP17 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 21313-875 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T006563-1 | New York |
Profile Details
| NPI number | 1508860065 |
|---|---|
| LBN Legal business name | Chan-Englender, Elzie C. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Mar 6th, 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 | 1508860065 | NPPES |
| New York | MEDICAID | 02396463 |
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