Laudon, Russell Jay

Laudon, Russell Jay is an individual health care provider with primary practice located at 5910 Junction Blvd , Elmhurst NY 11373-5156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Laudon, Russell Jay can be contacted via phone (718) 592-3200.

Contact Information

Primary practice address
5910 Junction Blvd Elmhurst NY 11373-5156
Phone: (718) 592-3200
Fax: (718) 592-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 138725 New York

Profile Details

NPI number 1821084351
LBN Legal business name Laudon, Russell Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821084351 NPPES
New York MEDICAID 00726201

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