Marder, Ira E

Marder, Ira E is an individual health care provider with primary practice located at 1033 Green Acres Mall , Valley Stream NY 11581-1531. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Marder, Ira E can be contacted via phone (516) 825-8990.

Contact Information

Primary practice address
1033 Green Acres Mall Valley Stream NY 11581-1531
Fax: (516) 872-2702
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 3751 New York

Profile Details

NPI number 1992881486
LBN Legal business name Marder, Ira E
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992881486 NPPES
New York MEDICAID 01016646

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