Kizhnerman, Igor

Kizhnerman, Igor is an individual health care provider with primary practice located at 16803 Jamaica Ave , Jamaica NY 11432. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kizhnerman, Igor can be contacted via phone (718) 657-4170.

Contact Information

Primary practice address
16803 Jamaica Ave Jamaica NY 11432
Phone: (718) 657-4170
Fax: (718) 657-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006787-1 New York

Profile Details

NPI number 1679674519
LBN Legal business name Kizhnerman, Igor
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 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 1679674519 NPPES
New York MEDICAID 02256417

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