Russo, Matthew R

Russo, Matthew R is an individual health care provider with primary practice located at 41 Congress St , Harrison NY 10528-2901. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Russo, Matthew R can be contacted via phone (914) 835-6464.

Contact Information

Primary practice address
41 Congress St Harrison NY 10528-2901
Phone: (914) 835-6464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 261151 New York

Profile Details

NPI number 1639491194
LBN Legal business name Russo, Matthew R
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2010
Last updated Feb 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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