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Individual
MR. RUSSELL PRESTON JR.
Active
Individual
MR. RUSSELL PRESTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
759684
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404145
NY
Other
Enumeration date
10/05/2021
Last updated
06/25/2025
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