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Organization
CLINICAL PATHOLOGY CONSULTANTS
Active
Organization
CLINICAL PATHOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS RUSSO M.D. (CEO AND DEAN OF CLINICAL AFFAIRS)
(212) 241-0087
Entity
Organization
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 241-2905
(631) 273-1636
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 241-2905
(631) 273-1636
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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