Individual
MR. CHRISTOPHER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
415 W 23RD ST APT 1EE, NEW YORK, NY 10011-1409
(646) 573-4724
Mailing address
440 W 24TH ST APT 9E, NEW YORK, NY 10011-1346
(212) 260-8115
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000962-1
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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