Nusynowitz, Russell N

Nusynowitz, Russell N is an individual health care provider with primary practice located at 2120 Lakeland Hills Blvd , Lakeland FL 33805-2906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nusynowitz, Russell N can be contacted via phone (863) 688-2334.

Contact Information

Primary practice address
2120 Lakeland Hills Blvd Lakeland FL 33805-2906
Phone: (863) 688-2334
Fax: (863) 577-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME78190 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME78190 Florida

Profile Details

NPI number 1588661532
LBN Legal business name Nusynowitz, Russell N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Feb 3rd, 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 1588661532 NPPES
Florida MEDICAID 256418100
Florida Other 46835
Florida Other P00042108

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