Davidson, Ilya
Davidson, Ilya is an sole proprietor health care provider with primary practice located at 324 Atlantic Ave , Brooklyn NY 11201-5852. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Davidson, Ilya can be contacted via phone (718) 624-6700.Contact Information
Primary practice address
324 Atlantic Ave
Brooklyn NY 11201-5852
Phone: (718) 624-6700
Fax: (718) 624-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 0088961 | New York |
Profile Details
| NPI number | 1063759082 |
|---|---|
| LBN Legal business name | Davidson, Ilya |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2013 |
| Last updated | Jan 10th, 2013 - about 12 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 | 1063759082 | NPPES |
| New York | Other | 1760727101 | BUSINESS NPI |
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