SearchNew York163WP0200X

Gabriella Russ

NPI 1235854274 · on the registry since 2022 · sole proprietor

Practice

Address
5079 Brown Rd
Munnsville, NY 13409
Phone
(315) 750-8886

Registry record

Primary taxonomy
163WP0200X
163WP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-11

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