Manevich, Eric
Manevich, Eric is an individual health care provider with primary practice located at 4011 Hylan Blvd , Staten Island NY 10308-3332. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Manevich, Eric can be contacted via phone (718) 227-0929.Contact Information
Primary practice address
4011 Hylan Blvd
Staten Island NY 10308-3332
Phone: (718) 227-0929
Fax: (718) 227-0890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 006509 | New York |
Profile Details
| NPI number | 1275583478 |
|---|---|
| LBN Legal business name | Manevich, Eric |
| Credentials | LICENSED OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1275583478 | NPPES |
| New York | MEDICAID | 01471989 | |
| New York | MEDICAID | 02738145 |
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