Geoffrey M Russell is a student in an organized health care education training program in Stony Brook, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Geoffrey M Russell NPI is 1487281044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
101 NICOLLS RD RM 175
STONY BROOK, NY
ZIP 11794-430
Phone: (631) 444-3005
Fax: (631) 444-7534
The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.