Eglow, Richard L

Eglow, Richard L is an individual health care provider with primary practice located at 2200 Burdett Ave Suite 103, Troy NY 12180-2451. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eglow, Richard L can be contacted via phone (518) 272-0800.

Contact Information

Primary practice address
2200 Burdett Ave Suite 103 Troy NY 12180-2451
Fax: (518) 272-0843
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 181673 New York

Profile Details

NPI number 1184754129
LBN Legal business name Eglow, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Sep 17th, 2012 - about 12 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 1184754129 NPPES
New York MEDICAID 01182961

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