Individual provider · Type 1 NPI

Russell Eida

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1457229593 Active

Practice location

124 9th St Ste 256
Brooklyn, NY 11215-3706

Call (917) 912-1618 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457229593

Russell Eida's National Provider Identifier is 1457229593, issued on Oct 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 29, 2025.