Kansky, Randy

Kansky, Randy is an individual health care provider with primary practice located at 118 Washington St , Hoboken NJ 07030-4649. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kansky, Randy can be contacted via phone (201) 653-2020.

Contact Information

Primary practice address
118 Washington St Hoboken NJ 07030-4649
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00454200 New Jersey

Profile Details

NPI number 1891821161
LBN Legal business name Kansky, Randy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 6th, 2009 - 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 1891821161 NPPES
New Jersey Other 488539 AETNA

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