Individual
CHRISTOPHER JOSEPH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N PORTLAND AVE, BROOKLYN, NY 11205-2005
(718) 260-7653
Mailing address
275 OCEAN AVE APT 14, BROOKLYN, NY 11225-5522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042378
NY
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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