Russo, Roseann M

Russo, Roseann M is an individual health care provider with primary practice located at 1165 Northern Blvd Suite 300, Manhasset NY 11030-3039. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Russo, Roseann M can be contacted via phone (516) 608-6820.

Contact Information

Primary practice address
1165 Northern Blvd Suite 300 Manhasset NY 11030-3039
Phone: (516) 608-6820
Fax: (516) 608-6821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 166771 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 166771 New York

Profile Details

NPI number 1043219769
LBN Legal business name Russo, Roseann M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 8th, 2013 - about 11 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 1043219769 NPPES
New York Other 290004977 RAILROAD MEDICARE

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