Vinciguerra, Van P
Vinciguerra, Van P is an individual health care provider with primary practice located at 740 Anderson Ave , Cliffside Park NJ 07010-2137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vinciguerra, Van P can be contacted via phone (201) 313-0303.Contact Information
Primary practice address
740 Anderson Ave
Cliffside Park NJ 07010-2137
Phone: (201) 313-0303
Fax: (201) 313-9461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4306 | New Jersey |
Profile Details
| NPI number | 1467445171 |
|---|---|
| LBN Legal business name | Vinciguerra, Van P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2005 |
| Last updated | Aug 15th, 2011 - about 13 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 | 1467445171 | NPPES |
| New Jersey | MEDICAID | 0380601 |
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