Hernandez, Robert0

Hernandez, Robert0 is an individual health care provider with primary practice located at 4767 Broadway , New York NY 10034-4915. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Hernandez, Robert0 can be contacted via phone (212) 567-9351.

Contact Information

Primary practice address
4767 Broadway New York NY 10034-4915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 005407 New York

Profile Details

NPI number 1770786642
LBN Legal business name Hernandez, Robert0
Credentials OPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jan 10th, 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 1770786642 NPPES
New York MEDICAID 01363446

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