Shore, Robin Leslie
Shore, Robin Leslie is an individual health care provider with primary practice located at 223 N Van Dien Avenue The Valley Hospital, Ridgewood NJ 07450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shore, Robin Leslie can be contacted via phone (201) 444-2019.Contact Information
Primary practice address
223 N Van Dien Avenue The Valley Hospital
Ridgewood NJ 07450
Phone: (201) 444-2019
Fax: (201) 444-3604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MB06022000 | New Jersey |
Profile Details
| NPI number | 1689623670 |
|---|---|
| LBN Legal business name | Shore, Robin Leslie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 15th, 2016 - about 10 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 | 1689623670 | NPPES |
| New Jersey | MEDICAID | 6931405 |
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