Avruskin, Theodore Wilfred
Avruskin, Theodore Wilfred is an sole proprietor health care provider with primary practice located at 1 Brookdale Plz Suite 222-Aaron Building, Brooklyn NY 11212-3139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Avruskin, Theodore Wilfred can be contacted via phone (718) 240-5960.Contact Information
Primary practice address
1 Brookdale Plz Suite 222-Aaron Building
Brooklyn NY 11212-3139
Phone: (718) 240-5960
Fax: (718) 240-5852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 105322 | New York |
Profile Details
NPI number | 1003918822 |
---|---|
LBN Legal business name | Avruskin, Theodore Wilfred |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 2nd, 2006 |
Last updated | Apr 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003918822 | NPPES |
New York | Other | 000000080122 | GHI HMO |
New York | Other | 0090568 | GHI HMO |
New York | Other | 1000002953301 | GHI HMO |
New York | Other | 105322-A41 | GHI HMO |
New York | Other | 581251 | GHI HMO |
New York | Other | KS967 | GHI HMO |
New York | Other | 4C0332 | GHI HMO |
New York | Other | 1000016980 | GHI HMO |
New York | Other | 5398069 | GHI HMO |
New York | MEDICAID | 00183835 | GHI HMO |
New York | Other | 105322NO2 | GHI HMO |
New York | Other | 1489777 | GHI HMO |
New York | Other | 60N0082 | GHI HMO |
New York | Other | NY160201 | GHI HMO |
New York | Other | 0041461 | GHI HMO |
New York | Other | 100002953303 | GHI HMO |
New York | Other | 343010201 | GHI HMO |
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