Trahan, Russell Frederick

Trahan, Russell Frederick is an individual health care provider with primary practice located at 247 W 145Th St , New York NY 10039-4004. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Trahan, Russell Frederick can be contacted via phone (212) 281-9300.

Contact Information

Primary practice address
247 W 145Th St New York NY 10039-4004
Phone: (212) 281-9300
Fax: (212) 491-7984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 003996 New York

Profile Details

NPI number 1710934682
LBN Legal business name Trahan, Russell Frederick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 28th, 2012 - about 13 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 1710934682 NPPES
New York Other 480005657 RAILROAD MEDICARE

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