Gelfond-Polnariev, Ilana
Gelfond-Polnariev, Ilana is an individual health care provider with primary practice located at 4300 Hylan Blvd Ste 1 , Staten Island NY 10312-6505. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Gelfond-Polnariev, Ilana can be contacted via phone (718) 481-2020.Contact Information
Primary practice address
4300 Hylan Blvd Ste 1
Staten Island NY 10312-6505
Phone: (718) 481-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | TUV006588 | New York |
Profile Details
| NPI number | 1619972361 |
|---|---|
| LBN Legal business name | Gelfond-Polnariev, Ilana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2005 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619972361 | NPPES |
| New York | MEDICAID | 02499796 |
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