Individual provider · Type 1 NPI

Russell Memhard, PA-C

Surgical Physician Assistant · Albany, NY

NPI number 1689705014 Active

Practice location

600 Northern Blvd
Albany, NY 12204-1004

Call (518) 471-3272 Map

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice locations

  • 315 S Manning Blvd, Albany, NY 12208-1707 · (518) 525-1550
  • 2215 Burdett Ave, Troy, NY 12180-2466 · (518) 271-3300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004263-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1689705014

Russell Memhard, PA-C's National Provider Identifier is 1689705014, issued on Mar 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on Jun 11, 2021.