Greenspan, Edward J

Greenspan, Edward J is an individual health care provider with primary practice located at 3490 Jerome Ave , Bronx NY 10467. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Greenspan, Edward J can be contacted via phone (718) 654-5860.

Contact Information

Primary practice address
3490 Jerome Ave Bronx NY 10467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X NY47781 New York

Profile Details

NPI number 1417116898
LBN Legal business name Greenspan, Edward J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - about 16 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 1417116898 NPPES
New York MEDICAID 02385151

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