Chavez-Gomez, Consuelo Elizabeth

Chavez-Gomez, Consuelo Elizabeth is an sole proprietor health care provider with primary practice located at 7508 37Th Ave , Jackson Heights NY 11372-6538. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chavez-Gomez, Consuelo Elizabeth can be contacted via phone (718) 476-1458.

Contact Information

Primary practice address
7508 37Th Ave Jackson Heights NY 11372-6538
Phone: (718) 476-1458
Fax: (718) 476-1462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT006194 New York

Profile Details

NPI number 1013080415
LBN Legal business name Chavez-Gomez, Consuelo Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Mar 1st, 2013 - about 11 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 1013080415 NPPES
New York Other 922825 BLOCK
New York Other NY6871 BLOCK
New York MEDICAID 02042368 BLOCK
New York Other 3101581 BLOCK
New York Other T006194 BLOCK
New York Other 52743 BLOCK
New York Other OV27627 BLOCK

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