National Provider Identifier
Sherry Lynn Russak, O.T.
Sherry Lynn Russak, O.T. is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 854-1790.
Profile Overview
- NPI
- 1164611869
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 18, 2007
- Last Updated
- January 09, 2008
Practice Location
- 253 Lakefront Blvd
- Buffalo, NY 14202-4316
Phone: (716) 854-1790
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1164611869
- Entity Type
- Individual
- Last Name
- Russak
- First Name
- Sherry
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- O.T.
- Provider Other Last Name
- Russak
- Provider Other First Name
- Sherry
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- O.T.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 253 Lakefront Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4316
- Mailing Country
- US
- Mailing Phone
- (716) 854-1790
- Mailing Fax
- (716) 662-5700
- Practice Street Address
- 253 Lakefront Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4316
- Practice Country
- US
- Practice Phone
- (716) 854-1790
- Practice Fax
- (716) 662-5700
- Enumeration Date
- October 18, 2007
- Last Updated
- January 09, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)