Small, Elizabeth A.
Small, Elizabeth A. is an individual health care provider with primary practice located at 775 Park Ave , Huntington NY 11743-3976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Small, Elizabeth A. can be contacted via phone (631) 659-4050.Contact Information
Primary practice address
775 Park Ave
Huntington NY 11743-3976
Phone: (631) 659-4050
Fax: (631) 659-4099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 178990-1 | New York |
Profile Details
| NPI number | 1922018357 |
|---|---|
| LBN Legal business name | Small, Elizabeth A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Sep 29th, 2014 - about 12 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 | 1922018357 | NPPES |
| New York | Other | 2C4865 | HEALTHNET |
| New York | Other | CS493 | HEALTHNET |
| New York | MEDICAID | 01464039 | HEALTHNET |
| New York | Other | 0400986 | HEALTHNET |
| New York | Other | 92K881 | HEALTHNET |
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