Rastogi, Shiv N
Rastogi, Shiv N is an sole proprietor health care provider with primary practice located at 400 Gidney Ave , Newburgh NY 12550-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rastogi, Shiv N can be contacted via phone (845) 561-1609.Contact Information
Primary practice address
400 Gidney Ave
Newburgh NY 12550-3701
Phone: (845) 561-1609
Fax: (845) 561-0781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 126652 | New York |
Profile Details
| NPI number | 1851450316 |
|---|---|
| LBN Legal business name | Rastogi, Shiv N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851450316 | NPPES |
| New York | MEDICAID | 00236237 |
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