Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 007414 | NY |
NPI | 1033264833 |
---|---|
Provider Name | Mr. Yaakov Sheinhouse |
First Address | Brooklyn, NY 11230-5308 |
Second Address | Brooklyn, NY 11230-5308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |