Individual
DR. STEPHEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 1ST AVE # NB7S-4, NEW YORK, NY 10016-9196
(212) 562-4339
Mailing address
462 1ST AVE # NB7S-4, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
224095
NY
Other
Enumeration date
07/27/2006
Last updated
01/06/2014
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