Ellison, Howard Randolph

Ellison, Howard Randolph is an individual health care provider with primary practice located at 132 E Fordham Rd , Bronx NY 10468-5408. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Ellison, Howard Randolph can be contacted via phone (718) 561-1600.

Contact Information

Primary practice address
132 E Fordham Rd Bronx NY 10468-5408
Fax: (718) 561-1611
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 008765 New York

Profile Details

NPI number 1023325107
LBN Legal business name Ellison, Howard Randolph
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Sep 9th, 2010 - about 15 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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