NPI 1063867646
Samantha S Russell, LPN
Practice location
- Address
- 4 Jefferson Plaza, Highland, NY 12528
- Phone
- (845) 473-5900
- Fax
- (845) 473-6692
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1063867646
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 May 2016
- Record last updated
- 11 Jan 2021
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.