The Medical Office Of Dr. Carol M. Russell, P.c.
Specialist in Staten Island, New York
1063699783- Practice location
- 131 Forest Ave, Staten Island, NY 10301-2715
- Phone
- 718-442-7700
- Fax
- 718-442-7705
- Last updated
- January 24, 2008
The Medical Office Of Dr. Carol M. Russell, P.c. is a healthcare organization based in Staten Island, NY. The Medical Office Of Dr. Carol M. Russell, P.c. practices in Staten Island, NY. The NPI Number for The Medical Office Of Dr. Carol M. Russell, P.c. is 1063699783 and holds a License No. 238185-1 (NY). The current practice location address for The Medical Office Of Dr. Carol M. Russell, P.c. is 131 Forest Ave, Staten Island, NY 10301-2715 and can be reached out via phone at 718-442-7700 and via fax at 718-442-7705.
Provider Profile Details
- NPI Number
- 1063699783
- Provider Name
- The Medical Office Of Dr. Carol M. Russell, P.c.
- Provider Entity Type
- Organization
- Address
- 131 Forest Ave, Staten Island, NY 10301-2715
- Phone Number
- 718-442-7700
- Fax Number
- 718-442-7705
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Bert Barry · Office Manager · 718-727-9544
- Provider Enumeration Date
- January 24, 2008
- Last Update Date
- January 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Forest Ave
Staten Island, NY 10301-2715 - City
- Staten Island
- State
- New York
- Zip
- 10301-2715
- Phone Number
- 718-442-7700
- Fax Number
- 718-442-7705
Provider Business Mailing Address Details
- Address
- 131 Forest Ave
Staten Island, NY 10301-2715 - City
- Staten Island
- State
- NY
- Zip
- 10301-2715
- Phone Number
- 718-442-7700
- Fax Number
- 718-442-7705
License Information
- License Number
- 238185-1
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of The Medical Office Of Dr. Carol M. Russell, P.c.?
The NPI number of The Medical Office Of Dr. Carol M. Russell, P.c. is 1063699783. It was assigned on January 24, 2008 and is currently active in the NPPES registry.
What is the specialty of The Medical Office Of Dr. Carol M. Russell, P.c.?
The Medical Office Of Dr. Carol M. Russell, P.c. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 238185-1.
Where does The Medical Office Of Dr. Carol M. Russell, P.c. practice?
The practice location is 131 Forest Ave, Staten Island, NY 10301-2715. The office can be reached at 718-442-7700 (phone) or 718-442-7705 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063699783 directly on the NPPES registry website.