Vaystub, Susanna

Vaystub, Susanna is an individual health care provider with primary practice located at 219 W 231St St , Bronx NY 10463-5301. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vaystub, Susanna can be contacted via phone (718) 543-8066.

Contact Information

Primary practice address
219 W 231St St Bronx NY 10463-5301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006447 New York

Profile Details

NPI number 1932149739
LBN Legal business name Vaystub, Susanna
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 7th, 2008 - about 16 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 1932149739 NPPES
New York MEDICAID 02717311

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