Divack, Steven Marc

Divack, Steven Marc is an sole proprietor health care provider with primary practice located at 115 Eastern Pkwy , Brooklyn NY 11238-6085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Divack, Steven Marc can be contacted via phone (718) 638-8484.

Contact Information

Primary practice address
115 Eastern Pkwy Brooklyn NY 11238-6085
Fax: (718) 638-8588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 143879 New York

Profile Details

NPI number 1306939723
LBN Legal business name Divack, Steven Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306939723 NPPES
New York MEDICAID 00523744

Popular Providers