Individual provider · Type 1 NPI

Russell Frederick Trahan

Foot & Ankle Surgery Podiatrist · New York, NY

NPI number 1710934682 Active

Practice location

247 W 145th St
New York, NY 10039-4004

Call (212) 281-9300 Map

Fax (212) 491-7984

Mailing address

250 W 90th St, PH2A
New York, NY 10024-1100

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X003996 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1710934682

Russell Frederick Trahan's National Provider Identifier is 1710934682, issued on May 27, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in New York, NY. The record was last updated on Jun 28, 2012.