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
Phone: (845) 425-0043
Fax: (845) 354-6335
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225008089 | NPPES |
New York | MEDICAID | 00403030 |
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