Individual provider · Type 1 NPI

Russell Jaffe, MD

Professional Counselor · New York, NY

NPI number 1114122371 Active

Practice location

800 5th Ave
New York, NY 10021-7216

Call (703) 788-5101 Map

Fax (703) 255-1389

Mailing address

1826 Calvert St NW
Washington, DC 20009-1906

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X18313 (DC)
Nutrition Education Nutritionist 133NN1002X18313 (DC)
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X18313 (DC)
Legal Medicine (M.D./D.O.) Physician 209800000X18313 (DC)

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About NPI 1114122371

Russell Jaffe, MD's National Provider Identifier is 1114122371, issued on Jun 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.