MRS. Jenny Marie Russo, NP
NPI #1639659170 in Howard Beach, New York
Provider Information
- NPI Number
- 1639659170
- Entity Type
- Individual
- Name
- MRS. Jenny Marie Russo, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Aug 15, 2018
- Last Updated
- Aug 15, 2018
Practice Location
- Address
- 9407 156TH AVE STE 200
- City
- Howard Beach
- State
- New York
- ZIP Code
- 11414-2826
- Phone
- (718) 323-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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