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Individual

ANNE MARIE RUSSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
227 WEST 27TH STREET, NEW YORK, NY 10001-5992
(212) 217-4190
(212) 217-4191
Mailing address
SEVENTH AVENUE @ 27TH STREET, ROOM A402, NEW YORK, NY 10001-5992
(212) 217-4190
(212) 217-4191

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F360390-1
NY

Other

Enumeration date
10/27/2009
Last updated
10/27/2009
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