Cohen, Ezra M
Cohen, Ezra M is an sole proprietor health care provider with primary practice located at 372 Avenue U , Brooklyn NY 11223-4018. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cohen, Ezra M can be contacted via phone (718) 946-5060.Contact Information
Primary practice address
372 Avenue U
Brooklyn NY 11223-4018
Phone: (718) 946-5060
Fax: (718) 946-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003854-1 | New York |
Profile Details
| NPI number | 1487655965 |
|---|---|
| LBN Legal business name | Cohen, Ezra M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 13th, 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 | 1487655965 | NPPES |
| New York | MEDICAID | 00503255 |
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