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Annissa Russell
NPI 1891118964 · on the registry since 2014
Practice
- Address
- 1370 Sheridan Dr
Kenmore, NY 14217 - Phone
- (716) 297-0798
- Fax
- (716) 297-0998
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-27
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