Phillip Michael Russertt RN

NPI # 

Practice Address:

27 Barrett Ave

Bayport, NY, 11705-1407

Practice Phone:

718-517-0074

License Number:

604009

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Specialization:

Home Health

Taxonomy Code:

163WH0200X

Updated by NPPES on 1/8/2019. You can view the original data set for NPI # 1679046130 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Phillip Michael Russertt , RN 's

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Phillip Michael Russertt , RN 's

CMS prescription data

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