Pollak, Samuel P

Pollak, Samuel P is an sole proprietor health care provider with primary practice located at 22 Lyncrest Dr , Monsey NY 10952-1630. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pollak, Samuel P can be contacted via phone (845) 425-0043.

Contact Information

Primary practice address
22 Lyncrest Dr Monsey NY 10952-1630
Fax: (845) 354-6335
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T003781 New York

Profile Details

NPI number 1225008089
LBN Legal business name Pollak, Samuel P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Oct 19th, 2015 - about 10 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 1225008089 NPPES
New York MEDICAID 00403030

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