Raskin, Russell W

Raskin, Russell W is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd Dept. Of Emergency Medicine, Roslyn NY 11576-1353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Raskin, Russell W can be contacted via phone (516) 562-6605.

Contact Information

Primary practice address
100 Port Washington Blvd Dept. Of Emergency Medicine Roslyn NY 11576-1353
Phone: (516) 562-6605
Fax: (516) 629-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2147091 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214709 New York

Profile Details

NPI number 1265599773
LBN Legal business name Raskin, Russell W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 13th, 2020 - about 4 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 1265599773 NPPES
New York MEDICAID 02393873

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