Crew, Russell J
Crew, Russell J is an sole proprietor health care provider with primary practice located at 622 W 168Th St Ph 4-124, New York NY 10032-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Crew, Russell J can be contacted via phone (212) 305-3273.Contact Information
Primary practice address
622 W 168Th St Ph 4-124
New York NY 10032-3720
Phone: (212) 305-3273
Fax: (212) 305-6692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 219461 | New York |
Profile Details
| NPI number | 1760564710 |
|---|---|
| LBN Legal business name | Crew, Russell J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760564710 | NPPES |
| New York | Other | 219461 | STATE LICENSE |
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