Russell, Patricia
Russell, Patricia is an sole proprietor health care provider with primary practice located at 288 Sherman Ave , Hawthorne NY 10532-1912. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Russell, Patricia can be contacted via phone (914) 747-1397.Contact Information
Primary practice address
288 Sherman Ave
Hawthorne NY 10532-1912
Phone: (914) 747-1397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 002403 | New York |
Profile Details
| NPI number | 1750595724 |
|---|---|
| LBN Legal business name | Russell, Patricia |
| Credentials | RD, CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750595724 | NPPES |
| New York | Other | 596830 | ADA DIETETIC REGISTRATION |
| New York | Other | 002403 | ADA DIETETIC REGISTRATION |
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