Shinnick, Todd Russell

Shinnick, Todd Russell is an individual health care provider with primary practice located at 30 Davis Ave , White Plains NY 10605-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shinnick, Todd Russell can be contacted via phone (914) 683-0443.

Contact Information

Primary practice address
30 Davis Ave White Plains NY 10605-1004
Fax: (914) 683-8620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1927752 New York

Profile Details

NPI number 1497727606
LBN Legal business name Shinnick, Todd Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 29th, 2014 - about 10 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 1497727606 NPPES
New York MEDICAID 01443856

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