NPI 1750870838

Natasha Russell

Practitioner Prevention Professional Brooklyn, NY

Practice location

Address: 1545 Atlantic Ave, Brooklyn, NY 11213-1122
Phone: (718) 613-4021

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 00000000000 (NY)

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Registry record

NPI: 1750870838
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2018
Record last updated: 4 May 2018

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.