person
Phillip Michael Russertt, RN
Home Health Registered Nurse in Bayport, New York
NPI 1679046130

Phillip Michael Russertt is a Home Health Registered Nurse based in Bayport, NY and is specialized in Home Health. Phillip Michael Russertt practices in Bayport, NY and has the professional credentials of RN. The NPI Number for Phillip Michael Russertt is 1679046130 and holds a License No. 604009 (New York).

The current practice location address for Phillip Michael Russertt is 27 Barrett Ave, Bayport, NY and can be reached out via phone at 718-517-0074.

Location: 27 Barrett Ave, Bayport, NY, 11705-1407
person
Provider Profile Details
NPI Number
1679046130
Provider Name
Phillip Michael Russertt
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
27 Barrett Ave, Bayport, NY, 11705-1407
Phone Number
718-517-0074
Fax Number
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 Barrett Ave
City
State
Zip
11705-1407
Phone Number
718-517-0074
Fax Number
person
Provider Business Mailing Address Details
Address
27 Barrett Ave
City
State
Zip
11705-1407
Phone Number
718-517-0074
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
604009 (New York)
Definition
Definition to come...
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