Crider, Russell Jackson
Crider, Russell Jackson is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Crider, Russell Jackson can be contacted via phone (516) 572-6705.Contact Information
Primary practice address
2201 Hempstead Tpke
East Meadow NY 11554-1859
Phone: (516) 572-6705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 142404 | New York |
Profile Details
| NPI number | 1952330482 |
|---|---|
| LBN Legal business name | Crider, Russell Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1952330482 | NPPES |
| New York | MEDICAID | 01511031 | |
| New York | Other | 142404 |
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