Russo, Marvin

Russo, Marvin is an sole proprietor health care provider with primary practice located at 103 Cypress Dr , Woodbury NY 11797. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Russo, Marvin can be contacted via phone (516) 448-7598.

Contact Information

Primary practice address
103 Cypress Dr Woodbury NY 11797
Phone: (516) 448-7598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 006886 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT15825 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 006886 New York

Profile Details

NPI number 1396059655
LBN Legal business name Russo, Marvin
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2010
Last updated Jul 21st, 2022 - about 2 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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