Active NPIIndividual providerSole proprietor

Nellie R Russotto

Technician, Pathology, Phlebotomy in East Berlin, Connecticut

NPI Number1134006331
Practice location
1224 Mill St Ste 224, East Berlin, CT 06023-1159
Fax
—
Last updated
August 25, 2025

Nellie R Russotto is a Technician, Pathology, Phlebotomy based in East Berlin, CT. Nellie R Russotto practices in East Berlin, CT. The NPI Number for Nellie R Russotto is 1134006331 and holds a License No. 25482899 (CT). The current practice location address for Nellie R Russotto is 1224 Mill St Ste 224, East Berlin, CT 06023-1159 and can be reached out via phone at 657-566-2588.

Provider Profile Details

NPI Number
1134006331
Provider Name
Nellie R Russotto
Provider Entity Type
Individual
Gender
Female
Address
1224 Mill St Ste 224, East Berlin, CT 06023-1159
Phone Number
657-566-2588
Primary Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X
Sole Proprietor
Yes
Other Names
Nellie Rosalie D'Albora (Former Name)
Provider Enumeration Date
August 19, 2025
Last Update Date
August 25, 2025
Certification Date
August 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1224 Mill St Ste 224
East Berlin, CT 06023-1159
Zip
06023-1159
Phone Number
657-566-2588
East Berlin, CT 06023Get directions →

Provider Business Mailing Address Details

Address
1224 Mill St Ste 224
East Berlin, CT 06023-1159
City
East Berlin
State
CT
Zip
06023-1159
Phone Number
657-566-2588

License Information

License Number
25482899
License State
CT
Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nellie R Russotto?

The NPI number of Nellie R Russotto is 1134006331. It was assigned on August 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Nellie R Russotto?

Nellie R Russotto is registered under the primary taxonomy Technician, Pathology, Phlebotomy (code 246RP1900X), licensed in CT under license number 25482899.

Where does Nellie R Russotto practice?

The practice location is 1224 Mill St Ste 224, East Berlin, CT 06023-1159. The office can be reached at 657-566-2588 (phone).

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 1134006331 directly on the NPPES registry website.

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