Vaystub, Susanna
Vaystub, Susanna is an individual health care provider with primary practice located at 219 W 231St St , Bronx NY 10463-5301. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vaystub, Susanna can be contacted via phone (718) 543-8066.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 006447 | New York |
Profile Details
| NPI number | 1932149739 |
|---|---|
| LBN Legal business name | Vaystub, Susanna |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | May 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932149739 | NPPES |
| New York | MEDICAID | 02717311 |
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