Andre Russell
Andre Russell is a Case Manager/Care Coordinator in Valley Stream, New York. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
7 Wallace Ct Apt 1Valley Stream, NY 11580-5557
Phone: (516) 557-5578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1336781756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2019 |
| Last updated in NPPES | October 17, 2019 |
| Mailing address | Po Box 1343, Valley Stream, NY 11582-1343 |
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