Wong, Carson Katsun
Wong, Carson Katsun is an sole proprietor health care provider with primary practice located at 44 Sylvan Ave Suite 1B, Englewood Cliffs NJ 07632-2417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wong, Carson Katsun can be contacted via phone (201) 592-1982.Contact Information
Primary practice address
44 Sylvan Ave Suite 1B
Englewood Cliffs NJ 07632-2417
Phone: (201) 592-1982
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV007444-1 | New York |
Profile Details
| NPI number | 1639308885 |
|---|---|
| LBN Legal business name | Wong, Carson Katsun |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Jan 3rd, 2013 - about 13 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 | 1639308885 | NPPES |
| New Jersey | MEDICAID | 0314081 | |
| New Jersey | MEDICAID | 03160372 |
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