Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KORAH ANN RUSSELL
ActiveKORAH ANN RUSSELL is a Developmental-Behavioral Pediatrics healthcare provider located in KIRKWOOD, New York. NPI 1922809672 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · KIRKWOOD, NY
Registration Details
- NPI Number
- 1922809672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2025 (1.4309948380701 yrs)
- Last Updated
- Mar 20, 2025
- License
-
3182214 (NY)
Practice Information
- Address
-
236 BURTS RDKIRKWOOD, NY, 137951731Browse NY providers · Browse ZIP 13795
- Phone
- 8774263307
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
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.