Vitenzon, Elena
Vitenzon, Elena is an sole proprietor health care provider with primary practice located at 216 Franklin Ave , Nutley NJ 07110-2709. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vitenzon, Elena can be contacted via phone (973) 542-1105.Contact Information
Primary practice address
216 Franklin Ave
Nutley NJ 07110-2709
Phone: (973) 542-1105
Fax: (973) 542-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00592900 | New Jersey |
Profile Details
| NPI number | 1043311962 |
|---|---|
| LBN Legal business name | Vitenzon, Elena |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043311962 | NPPES |
| New Jersey | Other | 3737782 | AETNA |
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