Elwell, Russell S

Elwell, Russell S is an individual health care provider with primary practice located at 158 E Main St , Westfield NY 14787-1155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Elwell, Russell S can be contacted via phone (716) 326-4686.

Contact Information

Primary practice address
158 E Main St Westfield NY 14787-1155
Phone: (716) 326-4686
Fax: (716) 326-4628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 115079-1 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 115079 New York

Profile Details

NPI number 1245269364
LBN Legal business name Elwell, Russell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Sep 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245269364 NPPES
New York MEDICAID 00607790
New York Other 000507267001
New York Other 1702196
New York Other 00010200001

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