Individual provider · Type 1 NPI
Michelle Russo
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1902784473
Active
Practice location
1133 Broadway Ste 1220
New York, NY 10010-7961
Mailing address
67 Jeffery Rd
Colonia, NJ 07067-2413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1902784473
Michelle Russo's National Provider Identifier is 1902784473, issued on Aug 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 23, 2025.