Russell R Decasteele, LPN

NPI #1962712596 in Bay Shore, New York

Provider Information

NPI Number
1962712596
Entity Type
Individual
Name
Russell R Decasteele, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 17, 2010
Last Updated
Oct 17, 2010

Practice Location

Address
1350 BROOKLYN BLVD
ZIP Code
11706-4009
Phone
(631) 968-6387

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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