Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 006712-1 | NY |
NPI | 1003883505 |
---|---|
Provider Name | Isaak Sharivker |
First Address | Forest Hills, NY 11375-6344 |
Second Address | Forest Hills, NY 11375-6344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 24/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010047901 | AMERICHOICE (01) | NY |
01788816 | (05) | NY |
168520 | EYE MED VISION CARE (01) | NY |
230230 | UNITED HEALTHCARE (01) | NY |
2960956 | AETNA (01) | NY |
905828 | BLOCK VISION (01) | NY |
9724462 | GHI (01) | NY |
P3871801 | OXFORD HEALTH PLANS (01) | NY |
T81400 | (02) | NY |