MARJORIE RUSSELL

LATHAM, NY
NPI1497113427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  40401959)
Enumeration Date2016-02-04
Last Update Date2017-04-23
Business Address
-- MARJORIE RUSSELL NPP
36 BRITISH AMERICAN BLVD STE 102
LATHAM, NY 12110-1410
Phone number: 518-389-6606
Mailing Address
-- MARJORIE RUSSELL NPP
36 BRITISH AMERICAN BLVD STE 102
LATHAM, NY 12110-1410
Phone number: 518-389-6606
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