Idehen, Clement Enorense

Idehen, Clement Enorense is an sole proprietor health care provider with primary practice located at 5546 Myrtle Ave , Ridgewood NY 11385-3554. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Idehen, Clement Enorense can be contacted via phone (718) 628-9200.

Contact Information

Primary practice address
5546 Myrtle Ave Ridgewood NY 11385-3554
Phone: (718) 628-9200
Fax: (718) 628-5600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T006065 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT006065 New York

Profile Details

NPI number 1700075595
LBN Legal business name Idehen, Clement Enorense
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 17 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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