Russell R Decasteele, LPN | |
1350 Brooklyn Blvd, Bay Shore, NY 11706-4009 | |
(631) 968-6387 | |
Not Available |
Full Name | Russell R Decasteele |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1350 Brooklyn Blvd, Bay Shore, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962712596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 303043-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Russell R Decasteele, LPN 1350 Brooklyn Blvd, Bay Shore, NY 11706-4009 Ph: (631) 968-6387 | Russell R Decasteele, LPN 1350 Brooklyn Blvd, Bay Shore, NY 11706-4009 Ph: (631) 968-6387 |
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