Individual
DR. RUSSELL N SHEFRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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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