Ladell, Eliyahu Shalom
Ladell, Eliyahu Shalom is an sole proprietor health care provider with primary practice located at 79 Route 59 Suite 2, Suffern NY 10901-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ladell, Eliyahu Shalom can be contacted via phone (845) 368-4260.Contact Information
Primary practice address
79 Route 59 Suite 2
Suffern NY 10901-4913
Phone: (845) 368-4260
Fax: (845) 368-4265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 147629 | New York |
Profile Details
| NPI number | 1912013376 |
|---|---|
| LBN Legal business name | Ladell, Eliyahu Shalom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1912013376 | NPPES |
| New York | MEDICAID | 01508525 |
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