Individual
RAFFAELA D RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3993 RICHMOND AVE, STATEN ISLAND, NY 10312
(718) 317-6252
(718) 317-5718
Mailing address
3993 RICHMOND AVE, STATEN ISLAND, NY 10312
(718) 317-6252
(718) 317-5718
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
144141
NY
Other
Enumeration date
09/14/2005
Last updated
01/21/2008
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