Individual provider · Type 1 NPI

James Edward Russo, N.P.

Adult Health Nurse Practitioner · New York, NY

NPI number 1407133572 Active

Practice location

423 E 23rd St, Cardiology 12 West 630/111A
New York, NY 10010-5011

Fax (212) 951-6884

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF305728 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407133572

James Edward Russo, N.P.'s National Provider Identifier is 1407133572, issued on Nov 3, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Nov 3, 2011.