Patsalis, Paul

Patsalis, Paul is an sole proprietor health care provider with primary practice located at 6834 3Rd Ave , Brooklyn NY 11220-5803. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Patsalis, Paul can be contacted via phone (718) 680-3270.

Contact Information

Primary practice address
6834 3Rd Ave Brooklyn NY 11220-5803
Fax: (718) 680-4918
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1195 Nebraska
Eye and Vision Services Providers / Optometrist 152W00000X VUT004810-1 New York

Profile Details

NPI number 1679576102
LBN Legal business name Patsalis, Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Mar 17th, 2020 - about 4 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 1679576102 NPPES
New York MEDICAID 01126223

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