Khanimov, Izick
Khanimov, Izick is an sole proprietor health care provider with primary practice located at 115 7Th Ave , Brooklyn NY 11215-1301. He recently has only one registered license in Eye and Vision Services Providers / Ophthalmic Assistant, which is considered as his primary health care specialty. Khanimov, Izick can be contacted via phone (718) 398-2020.Contact Information
Primary practice address
115 7Th Ave
Brooklyn NY 11215-1301
Phone: (718) 398-2020
Fax: (718) 230-0024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ophthalmic Assistant | 156FX1101X | 00897-01 | New York |
Profile Details
| NPI number | 1013506948 |
|---|---|
| LBN Legal business name | Khanimov, Izick |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2021 |
| Last updated | Jan 14th, 2021 - about 3 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 | 1013506948 | NPPES |
| New York | Other | 008970-1 | OPTICIAN |
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