Jaffe, Russell

Jaffe, Russell is an sole proprietor health care provider with primary practice located at 800 5Th Ave , New York NY 10021-7216. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Legal Medicine. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jaffe, Russell can be contacted via phone (703) 788-5101.

Contact Information

Primary practice address
800 5Th Ave New York NY 10021-7216
Phone: (703) 788-5101
Fax: (703) 255-1389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18313 District of Columbia
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 18313 District of Columbia
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207RI0001X 18313 District of Columbia
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 18313 District of Columbia

Profile Details

NPI number 1114122371
LBN Legal business name Jaffe, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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