Wisnicki, Herbert Jay

Wisnicki, Herbert Jay is an sole proprietor health care provider with primary practice located at 235 Park Ave S 2Nd Floor, New York NY 10003-1405. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wisnicki, Herbert Jay can be contacted via phone (212) 844-2020.

Contact Information

Primary practice address
235 Park Ave S 2Nd Floor New York NY 10003-1405
Phone: (212) 844-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 150650 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 150650 New York

Profile Details

NPI number 1407838451
LBN Legal business name Wisnicki, Herbert Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Nov 27th, 2018 - about 7 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 1407838451 NPPES
New York MEDICAID 00970627

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