National Provider Identifier

Russell N Shefrin, PHD

Russell N Shefrin, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Orchard Park, NY and a listed phone number of (716) 675-9232.

NPI 1659443109Orchard Park, NYPsychologist

Profile Overview

NPI
1659443109
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 3065 Southwestern Boulevard
  • Suite 204
  • Orchard Park, NY 14127

Phone: (716) 675-9232

Mailing Address

  • 315 Alberta Drive
  • Suite 211
  • Amherst, NY 14226

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1659443109
Entity Type
Individual
Last Name
Shefrin
First Name
Russell
Middle Name
N
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
315 Alberta Drive
Mailing Address Line 2
Suite 211
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 837-6705
Mailing Fax
(716) 837-6759
Practice Street Address
3065 Southwestern Boulevard
Practice Address Line 2
Suite 204
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 675-9232
Practice Fax
(716) 675-9217
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)
Other Identifiers
00020913401 (Univera), 000507516005 (Blue Cross), 61 01039 (Independent Health)