Longwell, Thomas Patrick

Longwell, Thomas Patrick is an sole proprietor health care provider with primary practice located at 1644 Monroe Ave , Rochester NY 14618-1417. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Longwell, Thomas Patrick can be contacted via phone (607) 731-4941.

Contact Information

Primary practice address
1644 Monroe Ave Rochester NY 14618-1417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 004044-1 New York

Profile Details

NPI number 1780874859
LBN Legal business name Longwell, Thomas Patrick
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Sep 14th, 2010 - about 14 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 1780874859 NPPES
New York MEDICAID 02913817

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