Provider Demographics
NPI:1619171485
Name:EINHORN, SHAUL CHAIM (OP)
Entity Type:Individual
Prefix:MR
First Name:SHAUL
Middle Name:CHAIM
Last Name:EINHORN
Suffix:
Gender:M
Credentials:OP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 RT 59
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:ROCKLAND COUNTY
Mailing Address - Zip Code:10952
Mailing Address - Country:NA
Mailing Address - Phone:845-425-1511
Mailing Address - Fax:845-371-0069
Practice Address - Street 1:421 RT 59
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:ROCKLAND COUNTY
Practice Address - Zip Code:10952
Practice Address - Country:NA
Practice Address - Phone:845-425-1511
Practice Address - Fax:845-371-0069
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7780156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician