Lasek, Edmund L

Lasek, Edmund L is an individual health care provider with primary practice located at 228 Genesee St , Utica NY 13502. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Lasek, Edmund L can be contacted via phone (315) 738-1754.

Contact Information

Primary practice address
228 Genesee St Utica NY 13502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4665 New York

Profile Details

NPI number 1013091347
LBN Legal business name Lasek, Edmund L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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 1013091347 NPPES
New York MEDICAID 01486488

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