Individual
ANDREA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 3RD AVE APT 4, NEW YORK, NY 10028-1933
(212) 792-3900
Mailing address
2 GREENWOOD LN, WOODBURY, NY 11797-2630
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
NY
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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