Roseann M Russo M.D.

NPI 1043219769 - Internal Medicine - 207RP1001X

NPI Details
NPI 1043219769
Gender Female
Enumeration Date 07/15/2005
Last Updated 05/08/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1165 NORTHERN BLVD
SUITE 300
MANHASSET NY, 11030-3039, US
Phone (516) 608-6820
Fax (516) 608-6821
Business Location
1165 NORTHERN BLVD
SUITE 300
MANHASSET NY, 11030-3039, US
Phone (516) 608-6820
Fax (516) 608-6821
Toxanomy
Taxonomy Code 207RP1001X
License State New York
License Number 166771
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According to our database, Dr. Roseann M Russo M.D. NPI is 1043219769, taxonomy code is 207RP1001X and license number is 166771, license state is located at New York. Roseann M Russo M.D. physically located at 1165 Northern Blvd, Manhasset NY, 11030-3039. NPI Number Roseann M Russo M.D. has the Individual type.

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1043219769 NPI number is provided on an as is basis without warranty of any kind. 1043219769 is maintained by the National Plan & Provider Enumeration System. The contents of Roseann M Russo M.D. are for informational purposes only.