Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 007594 | NY |
NPI | 1003139064 |
---|---|
Provider Name | Pinchus Sandel |
First Address | Brooklyn, NY 11211-7902 |
Second Address | Brooklyn, NY 11211-7902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2010 |
Last Update Date | 05/03/2010 |