Cornwall, Brian Stephen

Cornwall, Brian Stephen is an individual health care provider with primary practice located at 6130A 190Th St , Fresh Meadows NY 11365-2721. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornwall, Brian Stephen can be contacted via phone (718) 454-8484.

Contact Information

Primary practice address
6130A 190Th St Fresh Meadows NY 11365-2721
Phone: (718) 454-8484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4273-1 New York

Profile Details

NPI number 1275693624
LBN Legal business name Cornwall, Brian Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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