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Mr. Nicholas Anthony Russo
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1487282695

Nicholas Anthony Russo is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Nicholas Anthony Russo practices in Buffalo, NY. The NPI Number for Nicholas Anthony Russo is 1487282695 and holds a License No. (New York).

The current practice location address for Nicholas Anthony Russo is 77 Goodell Street, Buffalo, NY and can be reached out via phone at 716-829-6103.

Location: 77 Goodell Street, Buffalo, NY, 14203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487282695
Provider Name
Nicholas Anthony Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
77 Goodell Street, Buffalo, NY, 14203
Phone Number
716-829-6103
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
77 Goodell Street
City
Buffalo
State
New York
Zip
14203
Phone Number
716-829-6103
Fax Number
person
Provider Business Mailing Address Details
Address
77 Goodell Street
City
Buffalo
State
New York
Zip
14203
Phone Number
716-829-6103
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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