WARREN RUSSELL

Peer Specialist

Active Individual
NPI: 1083494835

Practice Address

2111 SOUTHERN BLVD APT 12A
Bronx, NY 10460

Phone: (347) 862-3928

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes NYCPS-P-5257 (NY)

Frequently Asked Questions

NPI 1083494835 is the National Provider Identifier for WARREN RUSSELL, a Peer Specialist provider located in Bronx, NY. This NPI was enumerated on September 29, 2023.
WARREN RUSSELL practices at 2111 SOUTHERN BLVD APT 12A, Bronx, NY 10460.

Quick Facts

NPI
1083494835
Type
Individual
Enumerated
Sep 29, 2023
Last Updated
Oct 3, 2023

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