Russell, Barbara Kathryn

Russell, Barbara Kathryn is an sole proprietor health care provider with primary practice located at 1650 Selwyn Ave Suite 8B, Bronx NY 10457-7626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Russell, Barbara Kathryn can be contacted via phone (718) 579-2650.

Contact Information

Primary practice address
1650 Selwyn Ave Suite 8B Bronx NY 10457-7626
Fax: (718) 579-2659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 185869 New York

Profile Details

NPI number 1538246608
LBN Legal business name Russell, Barbara Kathryn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
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 1538246608 NPPES
New York MEDICAID 01452491

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