NANCY ANN RUSSELL

SMITHTOWN, NY
NPI1164640173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  0044131)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mrs. NANCY ANN RUSSELL PA
50 ROUTE 25A
SMITHTOWN, NY 11787
Phone number: 631-862-3110
Mailing Address
Mrs. NANCY ANN RUSSELL PA
350 BARTON AVE
PATCHOGUE, NY 11772
Phone number: 631-475-1334
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