National Provider Identifier
Andrew Russell
Andrew Russell is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (607) 272-5891.
Profile Overview
- NPI
- 1366705410
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
Practice Location
- 3226 Wilkins RD
- Ithaca, NY 14850-9568
Phone: (607) 272-5891
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1366705410
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Andrew
- Mailing Street Address
- 3226 Wilkins RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9568
- Mailing Country
- US
- Practice Street Address
- 3226 Wilkins RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9568
- Practice Country
- US
- Practice Phone
- (607) 272-5891
- Practice Fax
- (607) 272-0188
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)