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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821084351 | NPPES |
| New York | MEDICAID | 00726201 |
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