Organization
RUSSOM PSYCHIATRY, PLLC
Active
Other names
Russom Psychiatry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA RUSSOM (MD)
(626) 419-1178
Entity
Organization
Contact information
Practice address
50 W 29TH ST APT 3E, NEW YORK, NY 10001-0106
(626) 419-1178
Mailing address
50 W 29TH ST APT 3E, NEW YORK, NY 10001-0106
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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