SearchNew York224Z00000X

Amanda Russell

NPI 1750859328 · on the registry since 2018

Practice

Address
87 Division St
Ballston Spa, NY 12020
Phone
(518) 885-2951

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-12

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