Dorfman, Michael G

Dorfman, Michael G is an individual health care provider with primary practice located at 4900 Merrick Rd Davis Vision Southgate Shopping Center, Massapequa NY 11762. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dorfman, Michael G can be contacted via phone (516) 799-6500.

Contact Information

Primary practice address
4900 Merrick Rd Davis Vision Southgate Shopping Center Massapequa NY 11762
Phone: (516) 799-6500
Fax: (516) 799-6507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VAT0038611 New York

Profile Details

NPI number 1114980513
LBN Legal business name Dorfman, Michael G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114980513 NPPES
New York MEDICAID 00522790

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