Fruchtman, Neil
Fruchtman, Neil is an sole proprietor health care provider with primary practice located at 2 Cooper Ave , Huntington Station NY 11746-3506. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Fruchtman, Neil can be contacted via phone (631) 427-6823.Contact Information
Primary practice address
2 Cooper Ave
Huntington Station NY 11746-3506
Phone: (631) 427-6823
Fax: (631) 427-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1184715997 |
|---|---|
| LBN Legal business name | Fruchtman, Neil |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184715997 | NPPES |
| New York | MEDICAID | 02245132 |
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