Konick, Donna R
Konick, Donna R is an individual health care provider with primary practice located at 1045 James St , Syracuse NY 13203-2730. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Konick, Donna R can be contacted via phone (315) 413-7692.Contact Information
Primary practice address
1045 James St
Syracuse NY 13203-2730
Phone: (315) 413-7692
Fax: (315) 422-3068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T004912-1 | New York |
Profile Details
| NPI number | 1902874217 |
|---|---|
| LBN Legal business name | Konick, Donna R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Oct 13th, 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 | 1902874217 | NPPES |
| New York | Other | 7431754 | AETNA |
| New York | Other | 796636 | AETNA |
| New York | Other | 00168680 | AETNA |
| New York | Other | 2566952 | AETNA |
| New York | Other | 928789001 | AETNA |
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