Individual
RENATA R. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 STRANG BOULEVARD, GROUND FLOOR, YORKTOWN HEIGHTS, NY 10598
(914) 245-2681
Mailing address
660 WHITE PLAINS ROAD - ENTA, FOURTH FLOOR, TARRYTOWN, NY 10591-6802
(914) 984-2552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
11228
NY
231H00000X
Audiologist
—
—
237700000X
Hearing Instrument Specialist
14000055942
NY
Other
Enumeration date
09/13/2019
Last updated
12/19/2022
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