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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL J RUSSELL, RPAC

Active

SAMUEL J RUSSELL, RPAC is a Physician Assistant healthcare provider located in ELMIRA, New York. NPI 1902907892 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ELMIRA, NY

Registration Details

NPI Number
1902907892
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2006 (19.739310659789 yrs)
Last Updated
Feb 17, 2020
License
009631 (NY)

Practice Information

Address
555 SAINT JOSEPHS BLVD STE M2
ELMIRA, NY, 149013223
Browse NY providers · Browse ZIP 14901
Phone
6077347121
Fax
6077340614
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ELMIRA, NY

Name Credential NPI
MRS. STEPHANIE LYNN BUSCH RPA-C 1093811291
MR. DENIS CHARLES KINGSLEY PA 1366540387
THOMAS B. COSS RPA-C 1356440473
KENNETH WRIGLEY P.A. 1770641714
BERNARD KLINE RPA-C 1356492565
BENJAMIN A. OAKES RPA-C 1659582922
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.