Sun, Ivy J

Sun, Ivy J is an individual health care provider with primary practice located at 72 New Hyde Park Road , Franklin Square NY 11010. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sun, Ivy J can be contacted via phone (516) 616-5888.

Contact Information

Primary practice address
72 New Hyde Park Road Franklin Square NY 11010
Fax: (516) 233-1817
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 005684 New York

Profile Details

NPI number 1255374203
LBN Legal business name Sun, Ivy J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 6th, 2015 - about 9 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 1255374203 NPPES
New York MEDICAID 02385179

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