Organization
BERNADITH RUSSELL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA KOCUR (BILLER)
(914) 346-8915
Entity
Organization
Contact information
Practice address
101 W 12TH ST, NEW YORK, NY 10011-8142
(212) 741-7800
(212) 741-7801
Mailing address
101 W 12TH ST, NEW YORK, NY 10011-8142
(212) 741-7800
(212) 741-7801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
223267
NY
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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