Individual provider · Type 1 NPI
Lisa Russak, NP
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1659405835
Active
Practice location
121 Dekalb Ave
Brooklyn, NY 11201-5425
Mailing address
6255 W Sunset Blvd Fl 21
Los Angeles, CA 90028-7422
Other practice locations
- 1600 Central Ave Fl 3, Far Rockaway, NY 11691-4008 · (929) 421-4630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F303001 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659405835
Lisa Russak, NP's National Provider Identifier is 1659405835, issued on Mar 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 20, 2026.