Certo, Russell A

Certo, Russell A is an individual health care provider with primary practice located at 1801 Grand Island Blvd , Grand Island NY 14072. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Certo, Russell A can be contacted via phone (716) 773-4323.

Contact Information

Primary practice address
1801 Grand Island Blvd Grand Island NY 14072
Phone: (716) 773-4323
Fax: (716) 773-9418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 0100021 New York

Profile Details

NPI number 1275502742
LBN Legal business name Certo, Russell A
Credentials PT OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
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 1275502742 NPPES
Other 000606777004 BLUE CROSS BLUE SHIELD
Other 9352188 BLUE CROSS BLUE SHIELD
Other 000606777005 BLUE CROSS BLUE SHIELD

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