Gayne, Heather Marie

Gayne, Heather Marie is an sole proprietor health care provider with primary practice located at 1462 Erie Blvd Ste A204 , Schenectady NY 12305-1039. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Gayne, Heather Marie can be contacted via phone (518) 370-7040.

Contact Information

Primary practice address
1462 Erie Blvd Ste A204 Schenectady NY 12305-1039
Fax: (518) 370-4030
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 008203-1 New York

Profile Details

NPI number 1134231624
LBN Legal business name Gayne, Heather Marie
Credentials LICENSED OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 26th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134231624 NPPES
New York MEDICAID 02745155
New York MEDICAID 02745146

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