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Contact Information

JODI ANN RUSSELL
508 AIRPORT EXECUTIVE BOULEVARD
NANUET, NY10958
 Phone: 845-425-2655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JODI ANN RUSSELL · (Female)

NPI Number 1073933917
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2014
Last updated 04/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 299412
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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