Individual
RUSS FLETCHER SAYPOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 CENTRAL AVE, HAUPPAUGE, NY 11788-4734
(631) 582-9729
(631) 582-9731
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
190068
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
190068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008076097
—
CT
05
—
00935520
—
NY
Enumeration date
06/18/2006
Last updated
05/19/2023
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