NICOLE E RUSSELL

NORTH SYRACUSE, NY
NPI1366795551
Former NameNICOLE E. LEVY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  337402)
Enumeration Date2012-10-25
Last Update Date2021-02-08
Business Address
NICOLE E RUSSELL NP
5496 E TAFT RD
NORTH SYRACUSE, NY 13212-3784
Phone number: 315-552-6700
Mailing Address
NICOLE E RUSSELL NP
5496 E TAFT RD
NORTH SYRACUSE, NY 13212-3784
Phone number: 315-552-6700