Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Medical Office of Dr Carol M. Russell, PC

Organization Specialist · NPI 1063699783

The Medical Office of Dr Carol M. Russell, PC is a Specialist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 Forest Ave
Staten Island, NY 10301-2715
Phone: (718) 442-7700
Fax: (718) 442-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 238185-1 (NY)

Record details

NPI number1063699783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bert Barry — Office Manager · (718) 727-9544
NPI enumeratedJanuary 24, 2008
Last updated in NPPESJanuary 24, 2008
Mailing address131 Forest Ave, Staten Island, NY 10301-2715

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