Nicole Russo
NPI #1629831235 in Whitestone, New York
Provider Information
- NPI Number
- 1629831235
- Entity Type
- Individual
- Name
- Nicole Russo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 5, 2024
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 14919 17TH AVE
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-2539
- Phone
- (929) 428-0101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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