Organization
DONALD G. RUSS, P.T., D.P.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GERARD RUSS P.T., D.P.T. (PRESIDENT,OWNER,CLINICIAN)
(516) 764-4462
Entity
Organization
Contact information
Practice address
3413 OCEANSIDE RD, OCEANSIDE, NY 11572-5520
(516) 764-4462
Mailing address
3413 OCEANSIDE RD, OCEANSIDE, NY 11572-5520
(516) 764-4462
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
009519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022801
HEALTHNET(ORTHONET)
NY
01
—
100054174601
UNITEDHEALTHCARE
NY
01
—
22801
CIGNA (ORTHONET)
NY
01
—
5C7334
HEALTHNET PPO
NY
01
—
6602097
GHI
NY
01
—
817979
THE EMPIRE PLAN
NY
01
—
P38307316
MULTIPLAN
NY
01
—
P678168
OXFORD
NY
01
—
Q01611
BLUECROSSBLUESHIELD
NY
Enumeration date
05/18/2007
Last updated
08/22/2020
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