Petrogalis, Oleg
Petrogalis, Oleg is an sole proprietor health care provider with primary practice located at 77 Green Acres Rd , Valley Stream NY 11581-1008. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Petrogalis, Oleg can be contacted via phone (516) 612-0528.Contact Information
Primary practice address
77 Green Acres Rd
Valley Stream NY 11581-1008
Phone: (516) 612-0528
Fax: (516) 887-2565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 6702 | New York |
Profile Details
| NPI number | 1568978336 |
|---|---|
| LBN Legal business name | Petrogalis, Oleg |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2017 |
| Last updated | Dec 15th, 2017 - about 7 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 | 1568978336 | NPPES |
| New York | MEDICAID | 0710862119 |
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