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Individual
RUSSELL DAMBRA
Active
Individual
RUSSELL DAMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
168198-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069292
GHI
NY
01
—
0069292
COMBINED WELF ARE FUND
—
01
—
01068498NY01
ANTHEM
—
01
—
31164V
VYTRA
—
01
—
58F861
BLUE CROSS BLUE SHIELD
—
01
—
7058023
CIGNA
—
01
—
884716
AETNA
—
01
—
NZ0299
GUARDIAN PHCS
—
Enumeration date
03/25/2006
Last updated
07/13/2026
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