Broming, Russell

Broming, Russell is an individual health care provider with primary practice located at 70 Cottonwood Ln , Westbury NY 11590-5743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Broming, Russell can be contacted via phone (516) 663-8312.

Contact Information

Primary practice address
70 Cottonwood Ln Westbury NY 11590-5743
Phone: (516) 663-8312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7191 New York

Profile Details

NPI number 1154941425
LBN Legal business name Broming, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated Jun 28th, 2023 - about 3 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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