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
Phone: (917) 887-8872
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952892622 | NPPES |
New York | MEDICAID | 006983 |
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