Powell-Rivers, Carolyn Rosemary
Powell-Rivers, Carolyn Rosemary is an sole proprietor health care provider with primary practice located at 664 Bay St Bay St Optical Pavilion, Staten Island NY 10304-3829. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Powell-Rivers, Carolyn Rosemary can be contacted via phone (718) 727-5678.Contact Information
Primary practice address
664 Bay St Bay St Optical Pavilion
Staten Island NY 10304-3829
Phone: (718) 727-5678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT004813-1 | New York |
Profile Details
| NPI number | 1598741076 |
|---|---|
| LBN Legal business name | Powell-Rivers, Carolyn Rosemary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Apr 1st, 2008 - about 17 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 | 1598741076 | NPPES |
| New York | MEDICAID | 01065163 |
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