Certo, Russell A
Certo, Russell A is an individual health care provider with primary practice located at 1801 Grand Island Blvd , Grand Island NY 14072. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Certo, Russell A can be contacted via phone (716) 773-4323.Contact Information
Primary practice address
1801 Grand Island Blvd
Grand Island NY 14072
Phone: (716) 773-4323
Fax: (716) 773-9418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 0100021 | New York |
Profile Details
| NPI number | 1275502742 |
|---|---|
| LBN Legal business name | Certo, Russell A |
| Credentials | PT OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275502742 | NPPES |
| Other | 000606777004 | BLUE CROSS BLUE SHIELD | |
| Other | 9352188 | BLUE CROSS BLUE SHIELD | |
| Other | 000606777005 | BLUE CROSS BLUE SHIELD |
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