PHILLIP MICHAEL RUSSERTT

BAYPORT, NY
NPI1679046130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: NY  604009)
Enumeration Date2019-01-08
Last Update Date2019-01-08
Business Address
PHILLIP MICHAEL RUSSERTT RN
27 BARRETT AVE
BAYPORT, NY 11705-1407
Phone number: 718-517-0074
Mailing Address
PHILLIP MICHAEL RUSSERTT RN
27 BARRETT AVE
BAYPORT, NY 11705-1407
Phone number: 718-517-0074
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