| Doctor Name: | DR. SARAH R RUSSELL |
| NPI Number: | 1225315500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, FNP |
| License Number: | F339628-1 |
| Business Practice Address: | 2 Rubin Dr Rushville, NY - 145449681 |
| Business Phone Number: | 5855544400 |
| Business Fax Number: | |
| Mailing Address: | 2 Rubin Dr, RUSHVILLE |
| State: | NY |
| Postal Code: | 145449681 |
| Phone Number: | 5855544400 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2011 |
| NPI Last Update Date: | 06/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F339628-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |