MR. ALPHONSO RUSS JR. L.P.N
NPI 1316178957
Licensed Practical Nurse in Deer Park, NY

Q: What is Alphonso Russ's NPI number?

The NPI number for Alphonso Russ is 1316178957. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Q: What is Alphonso Russ's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Alphonso Russ was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2009

11 W 14TH ST, DEER PARK, NY 11729(631) 404-0413 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Alphonso Russ Jr. L.p.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALPHONSO RUSS JR. L.P.N (NPI 1316178957) is an individual licensed practical nurse in Deer Park, New York, licensed in New York (295557) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1316178957

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. ALPHONSO RUSS JR.Credential: L.P.N

Location Address11 W 14TH STDeer Park, NY 11729-4019

Mailing Address11 W 14th StDeer Park, NY 11729-4019 · (631) 404-0413

Phone(631) 404-0413

Sole ProprietorYes

Enumeration DateJuly 30, 2009

✔ NPI 1316178957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 295557

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

11 W 14TH ST, Deer Park, NY 11729

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMANUELLA VALERIS LVN

Licensed Vocational Nurse

11 W 14TH ST
DEER PARK, NY 11729

Suffolk County (631) 504-8554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alphonso Russ's NPI number?

The NPI number for Alphonso Russ is 1316178957. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Alphonso Russ located?

Alphonso Russ practices at 11 W 14th St, Deer Park, NY 11729. The listed phone number is (631) 404-0413.

What is Alphonso Russ's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alphonso Russ was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.