Barbon, Rodolfo Ilas

Barbon, Rodolfo Ilas is an sole proprietor health care provider with primary practice located at 1650 Selwyn Ave , Bronx NY 10457-7626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Barbon, Rodolfo Ilas can be contacted via phone (718) 518-5011.

Contact Information

Primary practice address
1650 Selwyn Ave Bronx NY 10457-7626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 145361 New York

Profile Details

NPI number 1487737656
LBN Legal business name Barbon, Rodolfo Ilas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487737656 NPPES
New York MEDICAID 01007469

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