Russell, Brent
Russell, Brent is an individual health care provider with primary practice located at 4271 Hempstead Tpke , Bethpage NY 11714-5708. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Russell, Brent can be contacted via phone (516) 520-6600.Contact Information
Primary practice address
4271 Hempstead Tpke
Bethpage NY 11714-5708
Phone: (516) 520-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 098766 | New York |
Profile Details
| NPI number | 1316456056 |
|---|---|
| LBN Legal business name | Russell, Brent |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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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