Elliott Bartholomew, Michele Alicia
Elliott Bartholomew, Michele Alicia is an sole proprietor health care provider with primary practice located at 450 Clarkson Ave , Brooklyn NY 11203-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Elliott Bartholomew, Michele Alicia can be contacted via phone (718) 270-4280.Contact Information
Primary practice address
450 Clarkson Ave
Brooklyn NY 11203-2012
Phone: (718) 270-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 222314 | New York |
Profile Details
| NPI number | 1659393007 |
|---|---|
| LBN Legal business name | Elliott Bartholomew, Michele Alicia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 28th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659393007 | NPPES |
| New York | MEDICAID | 02699503 |
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