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Jessica Holly Russell, CNM
Obstetrics & Gynecology Physician in Stony Brook, New York
NPI 1891440640

Jessica Holly Russell is a Obstetrics & Gynecology Physician based in Wantagh, NY. Jessica Holly Russell practices in Stony Brook, NY and has the professional credentials of CNM. The NPI Number for Jessica Holly Russell is 1891440640 and holds a License No. F002033-01 (New York).

The current practice location address for Jessica Holly Russell is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-4000.

Location: 101 Nicolls Rd, Stony Brook, NY, 11793-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891440640
Provider Name
Jessica Holly Russell
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11793-4543
Phone Number
631-444-4000
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-4000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
F002033-01 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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