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Manya Russell

NPI 1417682659 · on the registry since 2022

Practice

Address
5602 Beverley Rd
Brooklyn, NY 11203
Phone
(917) 443-4657
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
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