person
Dr. Russell Frederick Trahan
Foot & Ankle Surgery Podiatrist in New York, New York
NPI 1710934682

Russell Frederick Trahan is a Foot & Ankle Surgery Podiatrist based in New York, NY and is specialized in Foot & Ankle Surgery. Russell Frederick Trahan practices in New York, NY. The NPI Number for Russell Frederick Trahan is 1710934682 and holds a License No. 003996 (New York).

The current practice location address for Russell Frederick Trahan is 247 W 145Th St, New York, NY and can be reached out via phone at 212-281-9300 and via fax at 212-491-7984.

Location: 247 W 145Th St, New York, NY, 10024-1100
person
Provider Profile Details
NPI Number
1710934682
Provider Name
Russell Frederick Trahan
Credential
Provider Entity Type
Individual
Gender
Male
Address
247 W 145Th St, New York, NY, 10024-1100
Phone Number
212-281-9300
Fax Number
212-491-7984
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480005657 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
247 W 145Th St
City
State
Zip
10039-4004
Phone Number
212-281-9300
Fax Number
212-491-7984
person
Provider Business Mailing Address Details
Address
247 W 145Th St
City
State
Zip
10039-4004
Phone Number
212-281-9300
Fax Number
212-491-7984
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
003996 (New York)
Definition
Definition to come...
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