Marwin, Russell
Marwin, Russell is an individual health care provider with primary practice located at 70 Dubois St , Newburgh NY 12550-4851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Marwin, Russell can be contacted via phone (845) 561-4400.Contact Information
Primary practice address
70 Dubois St
Newburgh NY 12550-4851
Phone: (845) 561-4400
Fax: (845) 790-2675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 187680-1 | New York |
Profile Details
| NPI number | 1083695183 |
|---|---|
| LBN Legal business name | Marwin, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Oct 21st, 2021 - about 5 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 | 1083695183 | NPPES |
| New York | MEDICAID | 01545308 |
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