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
Fax: (315) 422-3068
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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