Bildstein, Tracy Marie
Bildstein, Tracy Marie is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bildstein, Tracy Marie can be contacted via phone (718) 883-3225.Contact Information
Primary practice address
8268 164Th St
Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006895 | New York |
Profile Details
| NPI number | 1194806653 |
|---|---|
| LBN Legal business name | Bildstein, Tracy Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Sep 21st, 2016 - about 10 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 | 1194806653 | NPPES |
| New York | MEDICAID | 00246075 |
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