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Contact Information

SAMANTHA S RUSSELL, LPN
4 JEFFERSON PLAZA
HIGHLAND, NY12528
 Phone: 845-473-5900
 Fax: 845-473-6692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA S RUSSELL · (Female)

NPI Number 1063867646
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/02/2016
Last updated 01/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 312631
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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