Organization
RUSSELL F TRAHAN D D P M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL TRAHAN DPM (OWNER)
(212) 281-9300
Entity
Organization
Contact information
Practice address
247 W 145TH ST, NEW YORK, NY 10039-4004
(212) 281-9300
(212) 491-7984
Mailing address
247 W 145TH ST, NEW YORK, NY 10039-4004
(212) 281-9300
(212) 491-7984
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003996
NY
Other
Enumeration date
01/22/2013
Last updated
03/21/2013
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