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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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 1750595724 NPPES
New York Other 596830 ADA DIETETIC REGISTRATION
New York Other 002403 ADA DIETETIC REGISTRATION

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