Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLIS RUSSELL, MS RD CDN
Active Sole ProprietorRegistered Dietitian · ROSEDALE, NY
Registration Details
- NPI Number
- 1023772100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2021 (4.4884760171672 yrs)
- Last Updated
- Oct 26, 2021
- License
-
003127-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13519 242ND STROSEDALE, NY, 114221521Browse NY providers · Browse ZIP 11422
- Phone
- 9176014575
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Obesity & Weight Management Nutrition
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in ROSEDALE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH MARIE MADISON | MA, RDN, CDN | 1417293218 |
| KAREN E NIMMONS | RDN | 1043854003 |
| MS. ELISE GENEE HARRISON | RDN | 1275146615 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.