Brent Russell, LMSW

NPI 1316456056 · on the registry since 2017

Practice

Address: 4271 Hempstead Tpke
Bethpage, NY 11714
Phone: (516) 520-6600
Organisation at this address: Bridge Back To Life Inc
Ny Surgical Services Pllc
Medical Teleheath Red, Pllc
Medical Teleheath Blue, Pllc
Medical Teleheath Green, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

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