Search › New York › 133V00000X
Phyllis Russell, MS RD CDN
NPI 1023772100 · on the registry since 2021 · sole proprietor
Practice
- Address
- 13519 242nd St
Rosedale, NY 11422 - Phone
- (917) 601-4575
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133VN1101X
133VN1201X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York