LISA RUSSAK

BROOKLYN, NY
NPI1659405835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  f303001)
Enumeration Date2007-03-16
Last Update Date2013-08-01
Business Address
Ms. LISA RUSSAK NP
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-6534
Mailing Address
Ms. LISA RUSSAK NP
249 BEACH 141ST ST
BELLE HARBOR, NY 11694-1229
Phone number: 917-848-2463