Shimonov, Grigoriy

Shimonov, Grigoriy is an sole proprietor health care provider with primary practice located at 15614 Crossbay Blvd , Howard Beach NY 11414-2745. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Shimonov, Grigoriy can be contacted via phone (718) 738-2020.

Contact Information

Primary practice address
15614 Crossbay Blvd Howard Beach NY 11414-2745
Phone: (718) 738-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUV006831 New York
Eye and Vision Services Providers / Optometrist 152W00000X TUV006831 New York

Profile Details

NPI number 1215938139
LBN Legal business name Shimonov, Grigoriy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jan 19th, 2024 - about 10 months 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.

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