Russ, Alphonso

Russ, Alphonso is an sole proprietor health care provider with primary practice located at 11 W 14Th St , Deer Park NY 11729-4019. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Russ, Alphonso can be contacted via phone (631) 404-0413.

Contact Information

Primary practice address
11 W 14Th St Deer Park NY 11729-4019
Phone: (631) 404-0413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 295557 New York

Profile Details

NPI number 1316178957
LBN Legal business name Russ, Alphonso
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2009
Last updated Jul 30th, 2009 - about 16 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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