National Provider Identifier
Doreen Ruth Russo, RN
Doreen Ruth Russo, RN is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Buffalo, NY and a listed phone number of (716) 856-7500.
Profile Overview
- NPI
- 1104136902
- Provider Type
- Individual
- Primary Specialty
- General Practice Registered Nurse
- Enumeration Date
- October 14, 2010
- Last Updated
- October 14, 2010
Practice Location
- 346 Delaware Ave
- Buffalo, NY 14202-1804
Phone: (716) 856-7500
Specialties
- General Practice Registered Nurse (163WG0000X)
Full Record
- NPI
- 1104136902
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Doreen
- Middle Name
- Ruth
- Name Prefix
- Mrs.
- Credential
- RN
- Provider Other Last Name
- Habitzreuther
- Provider Other First Name
- Doreen
- Provider Other Middle Name
- Ruth
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 346 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1804
- Mailing Country
- US
- Mailing Phone
- (716) 856-7500
- Mailing Fax
- (716) 961-4419
- Practice Street Address
- 346 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1804
- Practice Country
- US
- Practice Phone
- (716) 856-7500
- Practice Fax
- (716) 961-4419
- Enumeration Date
- October 14, 2010
- Last Updated
- October 14, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Registered Nurse (163WG0000X)