Individual
CHERIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7000
Mailing address
25 MCWILLIAMS PLACE, # 307, JERSEY CITY, NJ 07302-1650
(917) 743-1823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
450021
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
304690
NY
Other
Enumeration date
12/13/2006
Last updated
09/12/2022
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