Delrusso, Timothy Carl

Delrusso, Timothy Carl is an individual health care provider with primary practice located at 1541 Union St First Floor, Schenectady NY 12309-6001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist. Other Service Providers / Specialist is his primary health care specialty. Delrusso, Timothy Carl can be contacted via phone (518) 382-2077.

Contact Information

Primary practice address
1541 Union St First Floor Schenectady NY 12309-6001
Phone: (518) 382-2077
Fax: (518) 382-2077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 165387-1 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 165387 New York

Profile Details

NPI number 1700089422
LBN Legal business name Delrusso, Timothy Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated May 11th, 2021 - about 4 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 1700089422 NPPES
New York Other 51E871 BLUE CROSS BLUE SHIELD

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