Individual provider · Type 1 NPI

Dorothy Russo

Nurse Practitioner · New York, NY

NPI number 1053921841 Active

Practice location

535 E 70th St
New York, NY 10021-4823

Mailing address

PO Box 29234
New York, NY 10087-9234

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF431766 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053921841

Dorothy Russo's National Provider Identifier is 1053921841, issued on Aug 6, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Apr 27, 2021.