Theodore Wilfred Avruskin
Endocrinologist (Diabetes Doctor)
1 Brookdale Plz Suite 222-Aaron Building
Brooklyn
, New York 11212-3139
Theodore Wilfred Avruskin
Endocrinologist (Diabetes Doctor)
1 Brookdale Plz Suite 222-Aaron Building
Brooklyn
, New York 11212-3139
(718) 240-5852
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Theodore Wilfred Avruskin
- 1 Brookdale Plz Suite 222-Aaron Building
- Brooklyn, NY
- Zip : 11212-3139
- Fax : (718) 240-5852
- Phone : (718) 240-5960
Second Address
- Theodore Wilfred Avruskin
- 1 Brookdale Plz Suite 222-Aaron Building
- Brooklyn, NY
- Zip : 11212-3139
- Fax : (718) 240-5852
- Phone : (718) 240-5960
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Is Theodore Wilfred Avruskin a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 105322 | NY |
National Provider Identifier
| NPI | 1003918822 |
|---|---|
| Provider Name | Theodore Wilfred Avruskin |
| First Address | Brooklyn, NY 11212-3139 |
| Second Address | Brooklyn, NY 11212-3139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2006 |
| Last Update Date | 25/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000080122 | GHI HMO (01) | NY |
| 00183835 | (05) | NY |
| 0041461 | GHI (01) | NY |
| 0090568 | AETNA (01) | NY |
| 1000002953301 | UNITED CHP/FHP/MEDICAID (01) | NY |
| 1000016980 | AFFINITY (01) | NY |
| 100002953303 | AMERICHOICE (01) | NY |
| 105322-A41 | HEALTH FIRST (01) | NY |
| 105322NO2 | HIP (01) | NY |
| 1489777 | PHCS (01) | NY |
| 343010201 | HEALTH PLUS (01) | NY |
| 4C0332 | HEALTH NET (01) | NY |
| 5398069 | US HEALTHCARE (01) | NY |
| 581251 | EMPIRE BLUE CROSSBLUE SHI (01) | NY |
| 60N0082 | NEIGHBORHOOD (01) | NY |
| A63378 | (02) | NY |
| KS967 | OXFORD (01) | NY |
| NY160201 | WELLCARE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.