Craig, Mario Jilbert
Craig, Mario Jilbert is an individual health care provider with primary practice located at 651 N Wellwood Ave , Lindenhurst NY 11757-1635. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Craig, Mario Jilbert can be contacted via phone (631) 226-2020.Contact Information
Primary practice address
651 N Wellwood Ave
Lindenhurst NY 11757-1635
Phone: (631) 226-2020
Fax: (631) 226-7371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T006374 | New York |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | T006374 | New York |
Profile Details
| NPI number | 1932194297 |
|---|---|
| LBN Legal business name | Craig, Mario Jilbert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Mar 11th, 2014 - about 10 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 | 1932194297 | NPPES |
| New York | Other | 169422 | VYTRA |
| New York | Other | 7313502 | VYTRA |
| New York | Other | P3139396 | VYTRA |
| New York | Other | 3399516 | VYTRA |
| New York | Other | P82818751 | VYTRA |
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