Individual
ELSA RUSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 6TH STREET, BROOKLYN, NY 11215
(718) 780-3775
(718) 780-3774
Mailing address
506 6TH STREET, BROOKLYN, NY 11215
(718) 780-3775
(718) 780-3774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
270589-1
NY
2084P0800X
Psychiatry Physician
CT52443
CT
Other
Enumeration date
07/01/2013
Last updated
05/17/2024
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