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Organization
MARJORIE RUSSELL NP IN PSYCHIATRY, PLLC
Active
Organization
MARJORIE RUSSELL NP IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RUSSELL NP (PROVIDER)
(518) 389-6606
Entity
Organization
Contact information
Practice address
36 BRITISH AMERICAN BLVD, STE 102, LATHAM, NY 12110-1410
(518) 389-6606
(518) 389-6605
Mailing address
36 BRITISH AMERICAN BLVD, STE 102, LATHAM, NY 12110-1410
(518) 389-6606
(518) 389-6605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401959-1
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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