ANDRE RUSSELL

VALLEY STREAM, NY
NPI1336781756
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-17
Last Update Date2019-10-17
Business Address
ANDRE RUSSELL
7 WALLACE CT APT 1
VALLEY STREAM, NY 11580-5557
Phone number: 516-557-5578
Mailing Address
ANDRE RUSSELL
PO BOX 1343
VALLEY STREAM, NY 11582-1343
Phone number: 516-557-5578