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RUSSELL JAMES HOLLIS
NPI 1497384101
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since April 04, 2020
27005 76TH AVE BLDG C, NEW HYDE PARK, NY 11040(718) 470-4475(718) 962-2239 Get Directions Write a Review

NPPES record last updated: April 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Russell James Hollis NPPES

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

RUSSELL JAMES HOLLIS (NPI 1497384101) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1497384101
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRUSSELL JAMES HOLLIS
Location Address27005 76TH AVE BLDG CNew Hyde Park, NY 11040-1402
Mailing Address27005 76th Ave Bldg CNew Hyde Park, NY 11040-1402 · (718) 470-4475 · Fax (718) 962-2239
Phone(718) 470-4475
Fax(718) 962-2239
Sole ProprietorNo
Enumeration DateApril 4, 2020
NPPES CertifiedApril 4, 2020
✔ NPI 1497384101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27005 76TH AVE BLDG C, New Hyde Park, NY 11040
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Other Providers at the Same Location NPPES 20

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

KRISTIN CANTELE DO
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
TYLER SCHAPERO MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
DR. BAILEY KAYE ROBERTS MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
YANG HAI
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
DR. MOLLY RAE KOBRITZ MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
LEO TIANQI LI MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
DONNA KOO MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
EMMA ROSE GAZZARA MD
Student in an Organized Health Care Education/Training Program
27005 76TH AVE BLDG C
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475

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 Russell Hollis's NPI number?

The NPI number for Russell Hollis is 1497384101. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Russell Hollis located?

Russell Hollis practices at 27005 76th Ave Bldg C, New Hyde Park, NY 11040. The listed phone number is (718) 470-4475.

What is Russell Hollis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Russell Hollis was last updated on April 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.