Petrosyan, Tamara Viktory
Petrosyan, Tamara Viktory is an individual health care provider with primary practice located at 9704 Sutphin Blvd , Jamaica NY 11435-4721. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Petrosyan, Tamara Viktory can be contacted via phone (718) 657-7088.Contact Information
Primary practice address
9704 Sutphin Blvd
Jamaica NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV007431 | New York |
Profile Details
| NPI number | 1043447220 |
|---|---|
| LBN Legal business name | Petrosyan, Tamara Viktory |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Feb 27th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043447220 | NPPES |
| New York | MEDICAID | 0332193 |
Popular Providers
-
Wallach, David
16820 Jamaica Ave , Jamaica NY 11432-5216 -
Glaubach, Richard J
13809 Queens Blvd , Jamaica NY 11435-2641 -
Jacques, Cecilia
82-68 164Th Street Queens Hospital Center, Pavilion P-452, Jamaica NY 11432 -
Richardson, Donna
17567 Hillside Ave , Jamaica NY 11432-5724 -
Mehta, Sarika
16405 Hillside Ave Fl 2 , Jamaica NY 11432-4140 -
Gorelick, Phyllis
159-03 Jamaica Ave , Jamaica NY 11434 -
Luk, Terry
8268 164Th St Pavilion Bldg, P-452, Jamaica NY 11432-1121 -
Wolynski, Bryan Michael
9704 Sutphin Blvd , Jamaica NY 11435-4721