Gerlan, Michael Victor

Gerlan, Michael Victor is an sole proprietor health care provider with primary practice located at 99 Mamaroneck Ave , White Plains NY 10601-5208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gerlan, Michael Victor can be contacted via phone (914) 948-6969.

Contact Information

Primary practice address
99 Mamaroneck Ave White Plains NY 10601-5208
Fax: (914) 948-6969
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV4578-1 New York

Profile Details

NPI number 1275698979
LBN Legal business name Gerlan, Michael Victor
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2006
Last updated Apr 22nd, 2008 - about 17 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 1275698979 NPPES
New York MEDICAID 01212188

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