Elliott Bartholomew, Michele Alicia

Elliott Bartholomew, Michele Alicia is an sole proprietor health care provider with primary practice located at 450 Clarkson Ave , Brooklyn NY 11203-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Elliott Bartholomew, Michele Alicia can be contacted via phone (718) 270-4280.

Contact Information

Primary practice address
450 Clarkson Ave Brooklyn NY 11203-2012
Phone: (718) 270-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 222314 New York

Profile Details

NPI number 1659393007
LBN Legal business name Elliott Bartholomew, Michele Alicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Oct 28th, 2015 - about 10 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 1659393007 NPPES
New York MEDICAID 02699503

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