Bredow, Ronald J

Bredow, Ronald J is an individual health care provider with primary practice located at 150 Gardiners Ave , Levittown NY 11756-3707. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bredow, Ronald J can be contacted via phone (516) 520-7200.

Contact Information

Primary practice address
150 Gardiners Ave Levittown NY 11756-3707
Fax: (516) 520-7625
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021022-1 New York

Profile Details

NPI number 1720293905
LBN Legal business name Bredow, Ronald J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 18 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 1720293905 NPPES
New York Other 162552P HIP
New York Other Q13C11 HIP

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