Chubak, Gary S
Chubak, Gary S is an sole proprietor health care provider with primary practice located at 21418 24Th Ave , Bayside NY 11360-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chubak, Gary S can be contacted via phone (718) 428-6000.Contact Information
Primary practice address
21418 24Th Ave
Bayside NY 11360-2219
Phone: (718) 428-6000
Fax: (718) 423-5102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 127280 | New York |
Profile Details
| NPI number | 1114097896 |
|---|---|
| LBN Legal business name | Chubak, Gary S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Sep 14th, 2009 - about 16 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 | 1114097896 | NPPES |
| New York | MEDICAID | 00434331 |
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