Russ, Donald Gerard

Russ, Donald Gerard is an sole proprietor health care provider with primary practice located at 3413 Oceanside Rd , Oceanside NY 11572-5520. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Russ, Donald Gerard can be contacted via phone (516) 764-4462.

Contact Information

Primary practice address
3413 Oceanside Rd Oceanside NY 11572-5520
Phone: (516) 764-4462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 009519 New York

Profile Details

NPI number 1407062615
LBN Legal business name Russ, Donald Gerard
Credentials P.T., D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
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 1407062615 NPPES
New York Other 22801 CIGNA (ORTHONET)
New York Other 5C7334 CIGNA (ORTHONET)
New York Other 6602097 CIGNA (ORTHONET)
New York Other P38307316 CIGNA (ORTHONET)
New York Other P678168 CIGNA (ORTHONET)
New York Other Q01611 CIGNA (ORTHONET)
New York Other 22801 CIGNA (ORTHONET)
New York Other 817979 CIGNA (ORTHONET)

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