person
Russell S Elwell, MD
General Practice Physician in Westfield, New York
NPI 1245269364

Russell S Elwell is a General Practice Physician based in Westfield, NY. Russell S Elwell practices in Westfield, NY and has the professional credentials of MD. The NPI Number for Russell S Elwell is 1245269364 and holds a License No. 115079-1 (New York).

The current practice location address for Russell S Elwell is 158 E Main St, Westfield, NY and can be reached out via phone at 716-326-4686 and via fax at 716-326-4628.

Location: 158 E Main St, Westfield, NY, 14787-1155
person
Provider Profile Details
NPI Number
1245269364
Provider Name
Russell S Elwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
158 E Main St, Westfield, NY, 14787-1155
Phone Number
716-326-4686
Fax Number
716-326-4628
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00607790 05 NY
000507267001 01 NY BLUE CROSS/SHIELD WNY
1702196 01 NY INDEPENDENT HEALTH
00010200001 01 NY UNIVERA
institution
Provider Business Practice Location Address Details
Address
158 E Main St
City
State
Zip
14787-1155
Phone Number
716-326-4686
Fax Number
716-326-4628
person
Provider Business Mailing Address Details
Address
158 E Main St
City
State
Zip
14787-1155
Phone Number
716-326-4686
Fax Number
716-326-4628
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
115079 (New York)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
115079-1 (New York)
Definition
Definition to come...
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