Goldberg, Ira Gary

Goldberg, Ira Gary is an sole proprietor health care provider with primary practice located at 112 Fulton Ave # B , Hempstead NY 11550-3752. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goldberg, Ira Gary can be contacted via phone (516) 481-2020.

Contact Information

Primary practice address
112 Fulton Ave # B Hempstead NY 11550-3752
Phone: (516) 481-2020
Fax: (516) 307-3305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV005281-1 New York

Profile Details

NPI number 1659495737
LBN Legal business name Goldberg, Ira Gary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 27th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659495737 NPPES
New York Other 113265536 UNITEDHEALTHCARE
New York Other 2160672 UNITEDHEALTHCARE
New York Other P2077105 UNITEDHEALTHCARE
New York Other 113265536 UNITEDHEALTHCARE
New York MEDICAID 01558676 UNITEDHEALTHCARE
New York Other 2146206 UNITEDHEALTHCARE
New York Other 146056 UNITEDHEALTHCARE
New York Other 37514P UNITEDHEALTHCARE
New York Other 6500906 UNITEDHEALTHCARE
New York Other C47481 UNITEDHEALTHCARE
New York Other 4C2296 UNITEDHEALTHCARE
New York Other 113265536 UNITEDHEALTHCARE
New York Other 113265536 UNITEDHEALTHCARE

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