Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

The Medical Office of Dr Carol M. Russell, PC

Organization Specialist · NPI 1063699783

The Medical Office of Dr Carol M. Russell, PC provides Specialist services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 Forest Ave
Staten Island, NY 10301-2715 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 442-7700
Fax: (718) 442-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 238185-1 (NY)

Record details

NPI number1063699783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bert Barry — Office Manager · (718) 727-9544
NPI enumeratedJanuary 24, 2008
Last updated in NPPESJanuary 24, 2008
Mailing address131 Forest Ave, Staten Island, NY 10301-2715

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