Individual
DR. HENRY RALPH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3010 WESTCHESTER AVE, SUITE 202, PURCHASE, NY 10577-2535
(914) 251-0117
(914) 251-0254
Mailing address
3010 WESTCHESTER AVE, SUITE 202, PURCHASE, NY 10577-2535
(914) 251-0117
(914) 251-0254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042549
NY
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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