Individual provider · Type 1 NPI
Russell Preston Jr., NP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1093487209
Active
Practice location
303 5th Ave Rm 1112
New York, NY 10016-6659
Fax (855) 213-5185
Mailing address
303 5th Ave Rm 1116
New York, NY 10016-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 759684 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404145 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093487209
Russell Preston Jr., NP's National Provider Identifier is 1093487209, issued on Oct 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jun 25, 2025.