Russo, Raffaela D

Russo, Raffaela D is an sole proprietor health care provider with primary practice located at 3993 Richmond Ave , Staten Island NY 10312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as her primary health care specialty. Russo, Raffaela D can be contacted via phone (718) 317-6252.

Contact Information

Primary practice address
3993 Richmond Ave Staten Island NY 10312
Phone: (718) 317-6252
Fax: (718) 317-5718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 144141 New York

Profile Details

NPI number 1316932544
LBN Legal business name Russo, Raffaela D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Jan 21st, 2008 - about 18 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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