Russo, Daniel Joseph

Russo, Daniel Joseph is an individual health care provider with primary practice located at 14445 87Th Ave , Briarwood NY 11435-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Russo, Daniel Joseph can be contacted via phone (718) 480-4024.

Contact Information

Primary practice address
14445 87Th Ave Briarwood NY 11435-3109
Phone: (718) 480-4024
Fax: (718) 480-4028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 164191 New York

Profile Details

NPI number 1316951882
LBN Legal business name Russo, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316951882 NPPES
New York MEDICAID 01937044

Popular Providers