Organization
MARJORIE RUSSELL NP IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RUSSELL NP (PROVIDER)
(518) 389-6606
Entity
Organization
Contact information
Practice address
36 BRITISH AMERICAN BLVD, STE 102, LATHAM, NY 12110-1410
(518) 389-6606
(518) 389-6605
Mailing address
36 BRITISH AMERICAN BLVD, STE 102, LATHAM, NY 12110-1410
(518) 389-6606
(518) 389-6605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401959-1
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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