Andrew Russell

NPI #1366705410 in Ithaca, New York

Provider Information

NPI Number
1366705410
Entity Type
Individual
Name
Andrew Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Jun 22, 2012
Last Updated
Jun 22, 2012

Practice Location

Address
3226 WILKINS RD
City
Ithaca
ZIP Code
14850-9568
Phone
(607) 272-5891

Specialties & Taxonomy Codes

Specialty
Specialist

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