Russo, Jenny Marie

Russo, Jenny Marie is an sole proprietor health care provider with primary practice located at 9407 156Th Ave Ste 200 , Howard Beach NY 11414-2826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russo, Jenny Marie can be contacted via phone (718) 323-3773.

Contact Information

Primary practice address
9407 156Th Ave Ste 200 Howard Beach NY 11414-2826
Phone: (718) 323-3773
Fax: (718) 323-3777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343495 New York

Profile Details

NPI number 1639659170
LBN Legal business name Russo, Jenny Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2018
Last updated Aug 15th, 2018 - about 7 years ago

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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