Individual
MS. BRIGIT RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 VERKA CT, BAYPORT, NY 11705-1750
(631) 472-5574
(631) 868-3498
Mailing address
15 VERKA CT, BAYPORT, NY 11705-1750
(631) 472-5574
(631) 868-3498
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
351561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01279318
—
NY
Enumeration date
09/21/2011
Last updated
09/21/2011
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