NPI 1063699783

The Medical Office of Dr. Carol M. Russell, P.C.

Organisation Specialist Staten Island, NY

Practice location

Address: 131 Forest Ave, Staten Island, NY 10301-2715
Phone: (718) 442-7700
Fax: (718) 442-7705

Authorised official

Name: Bert Barry
Title: Office Manager
Phone: (718) 727-9544

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 238185-1 (NY)

Other Specialist providers in New York →

Registry record

NPI: 1063699783
Entity type: Organization
NPI issued: 24 Jan 2008
Record last updated: 24 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.