Individual
BERNADITH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
61 IRVING PL APT LLB, NEW YORK, NY 10003-2330
(212) 741-7800
(212) 741-7801
Mailing address
61 IRVING PL APT LLB, NEW YORK, NY 10003-2330
(212) 741-7800
(212) 741-7801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
223267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02202784
—
NY
Enumeration date
02/21/2006
Last updated
08/04/2019
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