Gold, Charles I
Gold, Charles I is an sole proprietor health care provider with primary practice located at 4047 Broadway , New York NY 10032-1516. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gold, Charles I can be contacted via phone (212) 927-2020.Contact Information
Primary practice address
4047 Broadway
New York NY 10032-1516
Phone: (212) 927-2020
Fax: (212) 923-5576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4232 | New York |
Profile Details
| NPI number | 1073584330 |
|---|---|
| LBN Legal business name | Gold, Charles I |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 4th, 2013 - about 12 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 | 1073584330 | NPPES |
| New York | MEDICAID | 01027696 |
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