Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Jack Russ, MD

Individual provider Psychiatry Physician · NPI 1437213402

Mark Jack Russ, MD is a Psychiatry Physician in Glen Oaks, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7559 263rd St
Glen Oaks, NY 11004-1150
Phone: (718) 470-8011
Fax: (718) 962-8537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 146749 (NY)

Record details

NPI number1437213402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7559 263rd St, Glen Oaks, NY 11004-1150

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