Individual
ALEXANDRA RUSSOMANO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
333 E 38TH ST FL 5, NEW YORK, NY 10016-2772
(646) 501-7077
Mailing address
4610 CENTER BLVD APT 717, LONG ISLAND CITY, NY 11109-5851
(973) 725-1944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035400
NY
Other
Enumeration date
07/09/2013
Last updated
01/14/2020
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