Romaine, Evan David

Romaine, Evan David is an individual health care provider with primary practice located at 9008 Jamaica Ave , Woodhaven NY 11421-2103. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Romaine, Evan David can be contacted via phone (718) 805-2020.

Contact Information

Primary practice address
9008 Jamaica Ave Woodhaven NY 11421-2103
Phone: (718) 805-2020
Fax: (718) 805-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 005731-1 New York

Profile Details

NPI number 1407811300
LBN Legal business name Romaine, Evan David
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 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 1407811300 NPPES
New York MEDICAID 01615012

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