Russell, Nicole
Russell, Nicole is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Russell, Nicole can be contacted via phone (516) 562-6006.Contact Information
Primary practice address
100 Port Washington Blvd
Roslyn NY 11576-1347
Phone: (516) 562-6006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1629753975 |
|---|---|
| LBN Legal business name | Russell, Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2023 |
| Last updated | Jun 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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