| Mr Gerald E Russell Iii, MS, RN, NREMT, NRCMA | |
|
13640 State Route 22, Canaan, NY 12029-3504 | |
| (518) 704-2740 | |
| (518) 751-2284 |
| Full Name | Mr Gerald E Russell Iii |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 13640 State Route 22, Canaan, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972446136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N38104 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gerald E Russell Iii, MS, RN, NREMT, NRCMA 13640 State Route 22, Canaan, NY 12029-3504 Ph: (518) 704-2740 | Mr Gerald E Russell Iii, MS, RN, NREMT, NRCMA 13640 State Route 22, Canaan, NY 12029-3504 Ph: (518) 704-2740 |