Russell, Natasha
Russell, Natasha is an individual health care provider with primary practice located at 1545 Atlantic Ave , Brooklyn NY 11213-1122. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Russell, Natasha can be contacted via phone (718) 613-4021.Contact Information
Primary practice address
1545 Atlantic Ave
Brooklyn NY 11213-1122
Phone: (718) 613-4021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | 00000000000 | New York |
Profile Details
| NPI number | 1750870838 |
|---|---|
| LBN Legal business name | Russell, Natasha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2018 |
| Last updated | May 4th, 2018 - about 6 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 | 1750870838 | NPPES |
| Other | NRUSSELL1 | N/A |
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