Rothstein, Kim Staiman
Rothstein, Kim Staiman is an individual health care provider with primary practice located at 11045 Queens Blvd Ste Aa, Forest Hills NY 11375. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rothstein, Kim Staiman can be contacted via phone (718) 261-2727.Contact Information
Primary practice address
11045 Queens Blvd Ste Aa
Forest Hills NY 11375
Phone: (718) 261-2727
Fax: (718) 261-5302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT005855 | New York |
Profile Details
| NPI number | 1306803879 |
|---|---|
| LBN Legal business name | Rothstein, Kim Staiman |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 22nd, 2017 - about 7 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 | 1306803879 | NPPES |
| New York | MEDICAID | 00244528 |
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