Wolynski, Bryan Michael

Wolynski, Bryan Michael is an individual health care provider with primary practice located at 9704 Sutphin Blvd , Jamaica NY 11435-4721. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolynski, Bryan Michael can be contacted via phone (718) 657-7088.

Contact Information

Primary practice address
9704 Sutphin Blvd Jamaica NY 11435-4721
Fax: (718) 657-7092
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3623 Florida
Eye and Vision Services Providers / Optometrist 152W00000X TUV006289-1 New York

Profile Details

NPI number 1619076346
LBN Legal business name Wolynski, Bryan Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 8th, 2019 - about 6 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 1619076346 NPPES
New York MEDICAID 02531822

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