Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | VUT 004324-1 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | VUT 004321-1 | NY |
NPI | 1154309177 |
---|---|
Provider Name | Dr. Steven B Ressel |
First Address | Plainview, NY 11803-3036 |
Second Address | Hauppauge, NY 11788-4346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00789639 | (05) | NY |
U03082 | (02) |