Desrivieres, Daniel

Desrivieres, Daniel is an sole proprietor health care provider with primary practice located at 32 N Day St , Orange NJ 07050-3609. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Desrivieres, Daniel can be contacted via phone (973) 676-8113.

Contact Information

Primary practice address
32 N Day St Orange NJ 07050-3609
Phone: (973) 676-8113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OA04844 New Jersey

Profile Details

NPI number 1619041506
LBN Legal business name Desrivieres, Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jun 3rd, 2008 - 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 1619041506 NPPES
New Jersey Other 1972778413 1148-1150 SPRINGFIELD AVE
New Jersey Other 1548431091 1148-1150 SPRINGFIELD AVE
New Jersey Other 1194996645 1148-1150 SPRINGFIELD AVE
New Jersey Other 1235300799 1148-1150 SPRINGFIELD AVE
New Jersey Other 1619148160 1148-1150 SPRINGFIELD AVE
New Jersey Other 1740345693 1148-1150 SPRINGFIELD AVE
New Jersey Other 1932370483 1148-1150 SPRINGFIELD AVE
New Jersey Other 1063683258 1148-1150 SPRINGFIELD AVE

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