Small, Elizabeth A.

Small, Elizabeth A. is an individual health care provider with primary practice located at 775 Park Ave , Huntington NY 11743-3976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Small, Elizabeth A. can be contacted via phone (631) 659-4050.

Contact Information

Primary practice address
775 Park Ave Huntington NY 11743-3976
Phone: (631) 659-4050
Fax: (631) 659-4099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 178990-1 New York

Profile Details

NPI number 1922018357
LBN Legal business name Small, Elizabeth A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 29th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922018357 NPPES
New York Other 2C4865 HEALTHNET
New York Other CS493 HEALTHNET
New York MEDICAID 01464039 HEALTHNET
New York Other 0400986 HEALTHNET
New York Other 92K881 HEALTHNET

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