Collet, Brian Ira

Collet, Brian Ira is an sole proprietor health care provider with primary practice located at 8439 153Rd Ave Suite Lm, Howard Beach NY 11414-1957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Collet, Brian Ira can be contacted via phone (718) 848-3909.

Contact Information

Primary practice address
8439 153Rd Ave Suite Lm Howard Beach NY 11414-1957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 146921-01 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 146921-01 New York

Profile Details

NPI number 1902858319
LBN Legal business name Collet, Brian Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated May 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902858319 NPPES
New York MEDICAID 00999160

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