Individual provider · Type 1 NPI
Jenny Marie Russo, NP
Family Nurse Practitioner · Howard Beach, NY
NPI number
1639659170
Active
Practice location
9407 156th Ave Ste 200
Howard Beach, NY 11414-2826
Fax (718) 323-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 343495 (NY) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1639659170
Jenny Marie Russo, NP's National Provider Identifier is 1639659170, issued on Aug 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Howard Beach, NY. The record was last updated on Aug 15, 2018.