Mr. Alphonso Russ JR., LPN - Deer Park, NY

Mr. Alphonso Russ JR., LPN

Licensed Practical Nurse in Deer Park, New York

NPI 1316178957

Alphonso Russ JR. is a Licensed Practical Nurse based in Deer Park, NY. Alphonso Russ JR. practices in Deer Park, NY and has the professional credentials of LPN. The NPI Number for Alphonso Russ JR. is 1316178957 and holds a License No. 295557 (New York).

The current practice location address for Alphonso Russ JR. is 11 W 14Th St, Deer Park, NY and can be reached out via phone at 631-404-0413.

Location: 11 W 14Th St, Deer Park, NY, 11729-4019

NPI Number

1316178957

Provider Name

Alphonso Russ JR.

Credential

LPN

Provider Entity Type

Individual

Gender

Male

Address

11 W 14Th St, Deer Park, NY, 11729-4019

Phone Number

631-404-0413

Fax Number

Provider Enumeration Date

07/30/2009

Last Update Date

03/09/2024

Address

11 W 14Th St

City

Deer Park

State

New York

Zip

11729-4019

Phone Number

631-404-0413

Fax Number

Address

11 W 14Th St

City

Deer Park

State

New York

Zip

11729-4019

Phone Number

631-404-0413

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

295557 (New York)

Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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