Individual
DR. GIUSEPPINA M RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2799 RT 112, DAVIS VISION AT KING KUHLEN SHOPPING CENTER, MEDFORD, NY 11763
(631) 289-3937
(631) 207-0913
Mailing address
2921 ERIE BLVD E, SYRACUSE, NY 13224
(315) 445-7465
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0063921
NY
Other
Enumeration date
03/31/2006
Last updated
06/28/2019
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