MR. RUSSELL PRESTON NP NPI 1093487209

NPI Information

  • NPI: 1093487209
  • Provider Name: MR. RUSSELL PRESTON, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 303 5TH AVE RM 1105
    NEW YORK, NY
    ZIP 10016
  • Phone: (352) 213-8532

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NPI Details

MR. Russell Preston, NP is a psychiatric/mental health nurse practitioner in New York, NY. MR. Russell Preston, NP NPI is 1093487209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

303 5TH AVE RM 1105
NEW YORK, NY
ZIP 10016-668
Phone: (352) 213-8532
Fax: (914) 463-4056

The NPI 1093487209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health759684NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health404145NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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