Individual
JOSHUA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 N BAILEY AVE STE 130, AMHERST, NY 14226-1206
(716) 835-1246
(716) 835-0396
Mailing address
4955 N BAILEY AVE STE 130, AMHERST, NY 14226-1206
(716) 835-1246
(716) 835-0396
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
279455
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2012
Last updated
03/17/2018
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