Maillard, Brian P
Maillard, Brian P is an sole proprietor health care provider with primary practice located at 1698 State Route 7 , Cobleskill NY 12043-5750. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maillard, Brian P can be contacted via phone (518) 234-2931.Contact Information
Primary practice address
1698 State Route 7
Cobleskill NY 12043-5750
Phone: (518) 234-2931
Fax: (518) 234-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0068031 | New York |
Profile Details
| NPI number | 1598752636 |
|---|---|
| LBN Legal business name | Maillard, Brian P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 7th, 2017 - about 8 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 | 1598752636 | NPPES |
| New York | MEDICAID | 02632391 |
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