Polvanova, Berta
Polvanova, Berta is an sole proprietor health care provider with primary practice located at 9732 63Rd Rd , Rego Park NY 11374-1639. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Polvanova, Berta can be contacted via phone (718) 539-3646.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 008685-1 | New York |
Profile Details
| NPI number | 1730424201 |
|---|---|
| LBN Legal business name | Polvanova, Berta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2012 |
| Last updated | Dec 10th, 2012 - about 13 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 | 1730424201 | NPPES |
| New York | MEDICAID | 03396027 |
Popular Providers
-
Ramku, Valentina
1944 Deer Park Ave , Deer Park NY 11729-3327 -
Levy, David M.
247-02 Jericho Tpke , Floral Park NY 11001-4001 -
Osborn, Joseph
1789 Route 9 , Clifton Park NY 12065-2438 -
Shimanova, Olga
9102 63 Dr , Rego Park NY 11374-3850 -
Thompson, Bronwyn S.
22 Clifton Country Rd , Clifton Park NY 12065-3832 -
Drezek, Robert
3711 California Rd , Orchard Park NY 14127-1748 -
Carr, Duane J
6421 W Quaker St , Orchard Park NY 14127-2354 -
Vasserman, Tsylya U
Vision World 91-12A Atlantic Avenue 91-12A Atlantic Avenue, Ozone Park NY 11416-1527