Organization · Type 2 NPI

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

Specialist · Staten Island, NY

NPI number 1063699783 Active

Practice location

131 Forest Ave
Staten Island, NY 10301-2715

Call (718) 442-7700 Map

Fax (718) 442-7705

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X238185-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063699783

The Medical Office of Dr. Carol M. Russell, P.c.'s National Provider Identifier is 1063699783, issued on Jan 24, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 24, 2008.