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

Mr. Alphonso Russ Jr., LPN

Individual provider Licensed Practical Nurse · NPI 1316178957

Mr. Alphonso Russ Jr., LPN is a Licensed Practical Nurse in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

11 W 14th St
Deer Park, NY 11729-4019
Phone: (631) 404-0413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 295557 (NY)

Record details

NPI number1316178957
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 30, 2009
Last updated in NPPESJuly 30, 2009

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