Individual
JAMES HENRY RUSSILLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CRNA
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
185 SENECA CREEK RD APT RS, WEST SENECA, NY 14224-2347
(716) 946-7650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
659979-01
NY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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