Rosen, Steven Richard
Rosen, Steven Richard is an sole proprietor health care provider with primary practice located at 101 Ketcham Ave , Patchogue NY 11772-2509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosen, Steven Richard can be contacted via phone (631) 475-3540.Contact Information
Primary practice address
101 Ketcham Ave
Patchogue NY 11772-2509
Phone: (631) 475-3540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T005165-1 | New York |
Profile Details
| NPI number | 1841415106 |
|---|---|
| LBN Legal business name | Rosen, Steven Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1841415106 | NPPES |
| New York | MEDICAID | 01237892 |
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