Warren Russell
NPI #1154637718 in Mount Vernon, New York
Provider Information
- NPI Number
- 1154637718
- Entity Type
- Individual
- Name
- Warren Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 284 S COLUMBUS AVE
- Address 2
- PH
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10553-1537
- Phone
- (347) 219-4050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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