Shefrin, Russell N

Shefrin, Russell N is an individual health care provider with primary practice located at 3065 Southwestern Boulevard Suite 204, Orchard Park NY 14127. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shefrin, Russell N can be contacted via phone (716) 675-9232.

Contact Information

Primary practice address
3065 Southwestern Boulevard Suite 204 Orchard Park NY 14127
Fax: (716) 675-9217
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 005774 New York

Profile Details

NPI number 1659443109
LBN Legal business name Shefrin, Russell N
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1659443109 NPPES
Other 00020913401 UNIVERA
Other 000507516005 UNIVERA
Other 61 01039 UNIVERA

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