Sharivker, Isaak

Sharivker, Isaak is an individual health care provider with primary practice located at 11212 Queens Blvd , Forest Hills NY 11375-6344. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Sharivker, Isaak can be contacted via phone (718) 261-1764.

Contact Information

Primary practice address
11212 Queens Blvd Forest Hills NY 11375-6344
Phone: (718) 261-1764
Fax: (718) 261-1764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006712-1 New York

Profile Details

NPI number 1003883505
LBN Legal business name Sharivker, Isaak
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 24th, 2008 - about 18 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 1003883505 NPPES
New York Other 9724462 GHI
New York Other 010047901 GHI
New York Other 230230 GHI
New York Other 905828 GHI
New York Other 2960956 GHI
New York Other 168520 GHI
New York MEDICAID 01788816 GHI
New York Other P3871801 GHI

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