Berdoff, Russell Lindsay
Berdoff, Russell Lindsay is an sole proprietor health care provider with primary practice located at 67 Irving Pl 7Th Floor, New York NY 10003-2202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Berdoff, Russell Lindsay can be contacted via phone (212) 979-9224.Contact Information
Primary practice address
67 Irving Pl 7Th Floor
New York NY 10003-2202
Phone: (212) 979-9224
Fax: (212) 674-7138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 141351 | New York |
Profile Details
| NPI number | 1306847793 |
|---|---|
| LBN Legal business name | Berdoff, Russell Lindsay |
| Credentials | HD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 19th, 2013 - about 11 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 | 1306847793 | NPPES |
| New York | MEDICAID | 00824942 |
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