Gianfortune, Susan Ann

Gianfortune, Susan Ann is an sole proprietor health care provider with primary practice located at 412 Hempstead Tpke , West Hempstead NY 11552-1336. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gianfortune, Susan Ann can be contacted via phone (516) 481-2288.

Contact Information

Primary practice address
412 Hempstead Tpke West Hempstead NY 11552-1336
Fax: (516) 481-0127
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004910 New York

Profile Details

NPI number 1053445965
LBN Legal business name Gianfortune, Susan Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Mar 13th, 2015 - about 10 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 1053445965 NPPES
New York MEDICAID 01172210

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