Menasse, Michael Robert

Menasse, Michael Robert is an individual health care provider with primary practice located at 637 5Th Ave , Brooklyn NY 11215-5434. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Menasse, Michael Robert can be contacted via phone (718) 499-4260.

Contact Information

Primary practice address
637 5Th Ave Brooklyn NY 11215-5434
Phone: (718) 499-4260
Fax: (718) 499-6007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X C0053311 New York

Profile Details

NPI number 1972564193
LBN Legal business name Menasse, Michael Robert
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 8th, 2017 - about 9 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 1972564193 NPPES
New York MEDICAID 01050339

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