Kandel, George Alex

Kandel, George Alex is an individual health care provider with primary practice located at 12015 Liberty Ave , South Richmond Hill NY 11419-2117. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kandel, George Alex can be contacted via phone (718) 843-2156.

Contact Information

Primary practice address
12015 Liberty Ave South Richmond Hill NY 11419-2117
Phone: (718) 843-2156
Fax: (718) 843-2164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV 003560 New York

Profile Details

NPI number 1912959859
LBN Legal business name Kandel, George Alex
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 4th, 2007 - about 18 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 1912959859 NPPES
New York MEDICAID 00329117

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