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Individual

MS. DONNA RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(347) 461-0754
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
(347) 461-0754

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400839
NY

Other

Enumeration date
11/23/2005
Last updated
04/29/2010
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