Phillip Michael Russertt, RN

NPI #1679046130 in Bayport, New York

Provider Information

NPI Number
1679046130
Entity Type
Individual
Name
Phillip Michael Russertt, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Home Health
Credential
RN
Enumeration Date
Jan 8, 2019
Last Updated
Jan 8, 2019

Practice Location

Address
27 BARRETT AVE
ZIP Code
11705-1407
Phone
(718) 517-0074

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Home HealthHome Health

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