Vitenzon, Elena

Vitenzon, Elena is an sole proprietor health care provider with primary practice located at 216 Franklin Ave , Nutley NJ 07110-2709. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vitenzon, Elena can be contacted via phone (973) 542-1105.

Contact Information

Primary practice address
216 Franklin Ave Nutley NJ 07110-2709
Fax: (973) 542-1103
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00592900 New Jersey

Profile Details

NPI number 1043311962
LBN Legal business name Vitenzon, Elena
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1043311962 NPPES
New Jersey Other 3737782 AETNA

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