Russinoff, Ian

Russinoff, Ian is an individual health care provider with primary practice located at 1411 N Flagler Dr Ste 6200 , West Palm Beach FL 33401-3416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Russinoff, Ian can be contacted via phone (561) 820-8580.

Contact Information

Primary practice address
1411 N Flagler Dr Ste 6200 West Palm Beach FL 33401-3416
Phone: (561) 820-8580
Fax: (561) 820-8581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME 91596 Florida

Profile Details

NPI number 1477548295
LBN Legal business name Russinoff, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 13th, 2023 - about 2 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 1477548295 NPPES
Florida MEDICAID 271745000
Florida Other 01571

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