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Individual

KATERYNA RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
160 OLD COUNTRY RD, RIVERHEAD, NY 11901-2198
(516) 796-2400
Mailing address
1 DUPONT ST STE 110, PLAINVIEW, NY 11803-1606
(516) 796-2400
(516) 796-2500

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007128
NY
225700000X
Massage Therapist
030831
NY

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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