Russell F Trahan D D P M P C

NPI #1023356318 in New York, New York

Provider Information

NPI Number: 1023356318
Entity Type: Organization
Organization Name: Russell F Trahan D D P M P C
Primary Specialty: Podiatrist
Enumeration Date: Jan 22, 2013
Last Updated: Mar 21, 2013

Practice Location

Address: 247 W 145TH ST
City: New York
State: New York
ZIP Code: 10039-4004
Phone: (212) 281-9300

Authorized Official

Name: DR. RUSSELL TRAHAN, DPM
Title: OWNER
Phone: (212) 281-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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