Individual
DR. RUSSELL N SHEFRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3065 SOUTHWESTERN BOULEVARD, SUITE 204, ORCHARD PARK, NY 14127
(716) 675-9232
(716) 675-9217
Mailing address
315 ALBERTA DRIVE, SUITE 211, AMHERST, NY 14226
(716) 837-6705
(716) 837-6759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020913401
UNIVERA
—
01
—
000507516005
BLUE CROSS
—
01
—
61 01039
INDEPENDENT HEALTH
—
Enumeration date
11/13/2006
Last updated
07/08/2007
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