Individual
DONNA CAROL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
161 FORT WASHINGTON AVE, RM. 1028, NEW YORK, NY 10032-3729
(212) 305-0190
(212) 305-0322
Mailing address
161 FORT WASHINGTON AVE, RM. 1028, NEW YORK, NY 10032-3729
(212) 305-0190
(212) 305-0322
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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