Cordova, Jose Raul

Cordova, Jose Raul is an sole proprietor health care provider with primary practice located at 1979 Marcus Ave Ste 206 , New Hyde Park NY 11042-1002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cordova, Jose Raul can be contacted via phone (516) 243-8711.

Contact Information

Primary practice address
1979 Marcus Ave Ste 206 New Hyde Park NY 11042-1002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1100 New Hampshire

Profile Details

NPI number 1649036401
LBN Legal business name Cordova, Jose Raul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2024
Last updated Feb 27th, 2024 - about 10 months 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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