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

Warren Russell

Individual provider Peer Specialist · NPI 1083494835

Warren Russell is a Peer Specialist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

2111 Southern Blvd Apt 12A
Bronx, NY 10460-1446
Phone: (347) 862-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-5257 (NY)

Record details

NPI number1083494835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address2111 Southern Blvd Apt 12a, Bronx, NY 10460-1446

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