Individual
DR. ASHLEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6333 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-5800
(716) 632-3545
Mailing address
6333 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-5800
(716) 632-3545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008762
NY
Other
Enumeration date
05/27/2018
Last updated
09/01/2020
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