Individual
DR. RUSSELL F. WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1178
(212) 772-6389
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1178
(212) 772-6389
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
101089
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
101089
NY
Other
Enumeration date
07/26/2006
Last updated
04/13/2021
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