Russell, Bernadith
Russell, Bernadith is an sole proprietor health care provider with primary practice located at 61 Irving Pl Apt Llb , New York NY 10003-2330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Russell, Bernadith can be contacted via phone (212) 741-7800.Contact Information
Primary practice address
61 Irving Pl Apt Llb
New York NY 10003-2330
Phone: (212) 741-7800
Fax: (212) 741-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 223267 | New York |
Profile Details
| NPI number | 1326013699 |
|---|---|
| LBN Legal business name | Russell, Bernadith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Aug 4th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326013699 | NPPES |
| New York | MEDICAID | 02202784 |
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