Jasmaine Russo

NPI #1205334950 in Monroe, New York

Provider Information

NPI Number: 1205334950
Entity Type: Individual
Name: Jasmaine Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jan 29, 2018
Last Updated: Jan 29, 2018

Practice Location

Address: 101 CARPENTER PL
City: Monroe
State: New York
ZIP Code: 10950-3592
Phone: (845) 476-4261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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