Individual
KATIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
142 CLINTON ST, BINGHAMTON, NY 13905-2267
(607) 762-2660
Mailing address
113 S WASHINGTON ST, BINGHAMTON, NY 13903-1728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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