Nellie R Russotto

Individual provider Active NPI Phlebotomy Technician · East Berlin, CT

NPI 1134006331 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1134006331
Entity type
Individual (NPI type 1)
Primary specialty
Phlebotomy Technician 246RP1900X
License
25482899 (CT)
Practice address
1224 Mill St Ste 224
East Berlin, CT 06023-1159
Phone
(657) 566-2588
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25482899CTMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge by NRC Current Accepting new patients

Locations

1224 Mill St
Ste 224
East Berlin, CT 06023
Phone (203) 303-4963

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician
Group: 193400000X SINGLE SPECIALTY GROUP
246RP1900X 25482899 CT Yes

Addresses

Primary practice location

1224 Mill St Ste 224
East Berlin, CT 06023-1159

Mailing address

1224 Mill St Ste 224
East Berlin, CT 06023-1159
Phone (657) 566-2588

Other names

  • Nellie Rosalie D'Albora Former name

Other providers in East Berlin, CT

All providers in East Berlin, CT · Phlebotomy Technician in Connecticut

Sources for this page

Verify at the official NPI Registry.