Ventrudo, Steven L

Ventrudo, Steven L is an individual health care provider with primary practice located at 97 Route 303 , Tappan NY 10983-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ventrudo, Steven L can be contacted via phone (845) 359-5005.

Contact Information

Primary practice address
97 Route 303 Tappan NY 10983-2514
Fax: (845) 359-7890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 166157-1 New York

Profile Details

NPI number 1265432736
LBN Legal business name Ventrudo, Steven L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Apr 21st, 2015 - about 9 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 1265432736 NPPES
New York MEDICAID 01026824

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