Lukyanovsky, Russell
Lukyanovsky, Russell is an individual health care provider with primary practice located at 4352 Bedford Ave , Brooklyn NY 11229-4915. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lukyanovsky, Russell can be contacted via phone (917) 355-0151.Contact Information
Primary practice address
4352 Bedford Ave
Brooklyn NY 11229-4915
Phone: (917) 355-0151
Fax: (718) 891-6363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 046168 | New York |
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02603700 | New Jersey |
Profile Details
| NPI number | 1720081284 |
|---|---|
| LBN Legal business name | Lukyanovsky, Russell |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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