MEDICARE: MRS. NOREEN ANN RUSSELL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	399234-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568580827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NOREEN ANN RUSSELL RN

Provider Business Mailing Address
First Line	:	364 MIDDLE RD
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-1904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	364 MIDDLE RD
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-1904
Country	:	US
Telephone Number	:	631-804-6074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1104768209 — TABRINA FITZGERALD
Practice Location Address:

325 1ST AVE
BAYPORT, NY
11705-1303

Practice Phone: 631-889-5185
Practice Fax:

1003810433 — DR. GARY A MAGGIO DC
Practice Location Address:

671 MONTAUK HWY , STE A
BAYPORT, NY
11705-1607

Practice Phone: 631-472-3535
Practice Fax: 631-472-8221

1861492878 — DR. JASON ROBERT BEHAR D.P.M
Practice Location Address:

671 MONTAUK HWY
BAYPORT, NY
11705-1607

Practice Phone: 631-472-2112
Practice Fax: 631-472-2605

1881695500 — MR. ROBERT ALLAN ROCHE-BARNETT MD
Practice Location Address:

581 MIDDLE RD
BAYPORT, NY
11705-1916

Practice Phone: 631-472-8100
Practice Fax: 631-472-8811

1225070303 — DR. KALPANA PATEL M.D.
Practice Location Address:

10 S SNEDECOR AVE
BAYPORT, NY
11705-2133

Practice Phone: 631-472-0600
Practice Fax:

1780610022 — MS. VERONICA JEANETTE HARKINS LCSW
Practice Location Address:

360 IRA PL
BAYPORT, NY
11705-1217

Practice Phone: 631-669-5355
Practice Fax:

Directions to “ MRS. NOREEN ANN RUSSELL RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.