Breslow, Roger A
Breslow, Roger A is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Breslow, Roger A can be contacted via phone (315) 798-1637.Contact Information
Primary practice address
1729 Burrstone Rd
New Hartford NY 13413-1001
Phone: (315) 798-1637
Fax: (315) 624-1913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 127059 | New York |
Profile Details
| NPI number | 1891782942 |
|---|---|
| LBN Legal business name | Breslow, Roger A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1891782942 | NPPES |
| New York | MEDICAID | 00441525 |
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