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
Phone: (516) 481-2288
Fax: (516) 481-0127
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053445965 | NPPES |
New York | MEDICAID | 01172210 |
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