Russo, Joseph

Russo, Joseph is an individual health care provider with primary practice located at 270 Park Ave , Huntington NY 11743-2787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Russo, Joseph can be contacted via phone (631) 351-2785.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743-2787
Phone: (631) 351-2785
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 169852 New York

Profile Details

NPI number 1689670358
LBN Legal business name Russo, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 10th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689670358 NPPES
New York MEDICAID 01116976
New York Other CN4350
New York Other 050058895

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