Russo, Susan Eleanora

Russo, Susan Eleanora is an individual health care provider with primary practice located at 19 Bradhurst Ave , Hawthorne NY 10532-2140. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Russo, Susan Eleanora can be contacted via phone (914) 592-4366.

Contact Information

Primary practice address
19 Bradhurst Ave Hawthorne NY 10532-2140
Phone: (914) 592-4366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 004615 New York

Profile Details

NPI number 1194368472
LBN Legal business name Russo, Susan Eleanora
Credentials RDN, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2019
Last updated Oct 19th, 2019 - about 5 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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