Individual
MR. JAMES EDWARD RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
423 E 23RD ST, CARDIOLOGY 12 WEST 630/111A, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6884
Mailing address
423 E 23RD ST, CARDIOLOGY 12 WEST 630/111A, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305728
NY
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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