Provider Demographics
NPI:1184685265
Name:S H LAUFER OF PORT CHESTER INC
Entity Type:Organization
Organization Name:S H LAUFER OF PORT CHESTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOYFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-937-3955
Mailing Address - Street 1:511 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4734
Mailing Address - Country:US
Mailing Address - Phone:914-937-3955
Mailing Address - Fax:914-937-0586
Practice Address - Street 1:511 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4734
Practice Address - Country:US
Practice Address - Phone:914-937-3955
Practice Address - Fax:914-937-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003036152W00000X
332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100027786Medicare PIN
NY6200600001Medicare NSC