Russo, Kristen M

Russo, Kristen M is an sole proprietor health care provider with primary practice located at 272 Sayville Boulevard , Sayville NY 11782. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Russo, Kristen M can be contacted via phone (631) 589-2336.

Contact Information

Primary practice address
272 Sayville Boulevard Sayville NY 11782
Phone: (631) 589-2336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1972868305
LBN Legal business name Russo, Kristen M
Credentials TVI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 13 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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