Brzezicki, John Myron
Brzezicki, John Myron is an sole proprietor health care provider with primary practice located at 6421 W Quaker St , Orchard Park NY 14127-2354. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brzezicki, John Myron can be contacted via phone (716) 662-4525.Contact Information
Primary practice address
6421 W Quaker St
Orchard Park NY 14127-2354
Phone: (716) 662-4525
Fax: (716) 662-4138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002605 | New York |
Profile Details
| NPI number | 1073612560 |
|---|---|
| LBN Legal business name | Brzezicki, John Myron |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Dec 20th, 2007 - about 19 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 | 1073612560 | NPPES |
| New York | MEDICAID | 00654751 |
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