Individual
MS. ROSEMARY A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1071 STONELEIGH AVE, CARMEL, NY 10512
(845) 225-3591
(845) 225-3553
Mailing address
1306 VILLAGE DRIVE, BREWSTER, NY 10509
(845) 279-4450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F4008901
NY
Other
Enumeration date
08/17/2006
Last updated
03/07/2023
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