Russo, Nicole Ann

Russo, Nicole Ann is an individual health care provider with primary practice located at 6575 Kirkville Rd , East Syracuse NY 13057-9809. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Russo, Nicole Ann can be contacted via phone (315) 701-5710.

Contact Information

Primary practice address
6575 Kirkville Rd East Syracuse NY 13057-9809
Phone: (315) 701-5710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 021565 New York

Profile Details

NPI number 1699295469
LBN Legal business name Russo, Nicole Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Jun 22nd, 2017 - about 9 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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