Russ Blackstone

NPI 1245004910 · on the registry since 2023 · sole proprietor

Practice

Address: 1515 Kensington Ave Ste 103
Buffalo, NY 14215
Phone: (716) 697-7380
Organisation at this address: Pratibha Bansal, Md Pc
W.J.W. Medical Products
Pain Rehab Of Wny, Pllc
Nitin Bansal, M.D, Pllc
Pain Centers Of America, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York