Individual
DR. ROBIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4141 CARPENTER AVE, RENAL UNIT, BRONX, NY 10466-2600
(718) 920-9041
(718) 920-9043
Mailing address
PO BOX 1239, SCARSDALE, NY 10583-9239
(914) 636-8591
(914) 633-5084
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
116127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00346805
—
NY
01
—
116127
HIP
—
01
—
3399733
GHI
—
01
—
5122389
AETNA
—
01
—
6X6051
BLUE CROSS
—
01
—
GP223
OXFORD
—
Enumeration date
10/23/2006
Last updated
11/20/2009
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