Gladstein, Leonid

Gladstein, Leonid is an individual health care provider with primary practice located at 409 Commack Rd Ste 2B , Deer Park NY 11729-4508. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Gladstein, Leonid can be contacted via phone (917) 887-8872.

Contact Information

Primary practice address
409 Commack Rd Ste 2B Deer Park NY 11729-4508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006983 New York

Profile Details

NPI number 1952892622
LBN Legal business name Gladstein, Leonid
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2018
Last updated May 29th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952892622 NPPES
New York MEDICAID 006983

Popular Providers