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Individual

MR. RUSSELL PRESTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
303 5TH AVE RM 1112, NEW YORK, NY 10016-6659
(917) 475-6251
(855) 213-5185
Mailing address
303 5TH AVE RM 1116, NEW YORK, NY 10016-6601
(908) 379-8633
(914) 462-4056

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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