Russell Trevor Joffe M.D.

NPI 1114076114 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1114076114
Gender Male
Enumeration Date 01/09/2007
Last Updated 03/25/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
450 SEAVIEW AVE
STATEN ISLAND NY, 10305-3401, US
Phone (718) 226-6279
Fax (718) 226-8144
Business Location
1 EDGEWATER ST
6TH FL.
STATEN ISLAND NY, 10305-4907, US
Phone (718) 226-1008
Fax (718) 226-1039
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number 25MA07246900
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According to our database, Russell Trevor Joffe M.D. NPI is 1114076114, taxonomy code is 2084P0800X and license number is 25MA07246900, license state is located at New Jersey. Russell Trevor Joffe M.D. physically located at 450 Seaview Ave, Staten Island NY, 10305-3401. NPI Number Russell Trevor Joffe M.D. has the Individual type.

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1114076114 NPI number is provided on an as is basis without warranty of any kind. 1114076114 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Trevor Joffe M.D. are for informational purposes only.