Gottfried, Abraham Jacob
Gottfried, Abraham Jacob is an individual health care provider with primary practice located at 2856 3Rd Ave , Bronx NY 10455-2726. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gottfried, Abraham Jacob can be contacted via phone (718) 585-5100.Contact Information
Primary practice address
2856 3Rd Ave
Bronx NY 10455-2726
Phone: (718) 585-5100
Fax: (718) 292-0805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0042891 | New York |
Profile Details
| NPI number | 1598827925 |
|---|---|
| LBN Legal business name | Gottfried, Abraham Jacob |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Sep 9th, 2015 - about 9 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 | 1598827925 | NPPES |
| New York | MEDICAID | 00787426 |
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