Individual provider · Type 1 NPI

Laya Russell

Specialist · Far Rockaway, NY

NPI number 1679958789 Active

Practice location

264 Beach 19th St
Far Rockaway, NY 11691-4431

Call (718) 868-2961 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X857094 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679958789

Laya Russell's National Provider Identifier is 1679958789, issued on Jul 30, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Far Rockaway, NY. The record was last updated on Jul 30, 2015.