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1659405835
LISA RUSSAK
BROOKLYN, NY
NPI
1659405835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY f303001)
Enumeration Date
2007-03-16
Last Update Date
2013-08-01
Business Address
Ms. LISA RUSSAK NP
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-6534
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Mailing Address
Ms. LISA RUSSAK NP
249 BEACH 141ST ST
BELLE HARBOR, NY 11694-1229
Phone number: 917-848-2463
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