Patino, Lucia

Patino, Lucia is an individual health care provider with primary practice located at 8114 Roosevelt Ave , Jackson Heights NY 11372-6746. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Patino, Lucia can be contacted via phone (718) 505-9401.

Contact Information

Primary practice address
8114 Roosevelt Ave Jackson Heights NY 11372-6746
Phone: (718) 505-9401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006595 New York

Profile Details

NPI number 1659483683
LBN Legal business name Patino, Lucia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 21st, 2022 - about 2 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 1659483683 NPPES
New York MEDICAID 02828811
New York Other G400000253

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