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Individual

BENJAMIN RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-3550
Mailing address
NYU LANGONE MEDICAL CENTER, 550 1ST AVE, NEW YORK, NY 10010-6402
(917) 703-9177

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292674
NY

Other

Enumeration date
05/25/2013
Last updated
05/22/2024
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