Mar, Ellvin John

Mar, Ellvin John is an sole proprietor health care provider with primary practice located at 834 Fort Salonga Rd Ste D , Northport NY 11768-3157. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mar, Ellvin John can be contacted via phone (631) 757-4440.

Contact Information

Primary practice address
834 Fort Salonga Rd Ste D Northport NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 007221 New York

Profile Details

NPI number 1790965101
LBN Legal business name Mar, Ellvin John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2007
Last updated Jul 5th, 2016 - about 10 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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