Nieder, Mark
Nieder, Mark is an sole proprietor health care provider with primary practice located at 15614 Crossbay Blvd , Howard Beach NY 11414-2745. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nieder, Mark can be contacted via phone (718) 738-2020.Contact Information
Primary practice address
15614 Crossbay Blvd
Howard Beach NY 11414-2745
Phone: (718) 738-2020
Fax: (718) 641-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 003663 | New York |
Profile Details
| NPI number | 1245336304 |
|---|---|
| LBN Legal business name | Nieder, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245336304 | NPPES |
| New York | MEDICAID | 01668386 |
Popular Providers
-
Mangal, Sharena
40 Oregon St , Long Beach NY 11561-1526 -
Ullman, Marc
90 Atlantic City Blvd , Pine Beach NJ 08741-1545 -
Miller, Karen L
670 Long Beach Blvd , Long Beach NY 11561-2237 -
Vener, Alvin
16432 Crossbay Blvd , Howard Beach NY 11414-3742 -
Mishan, Susan
8227 153Rd Ave , Howard Beach NY 11414-1751 -
Gabbay, Dana M
240 W Beech St , Long Beach NY 11561-3202 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Shimonov, Grigoriy
15614 Crossbay Blvd , Howard Beach NY 11414-2745