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Individual

DR. ANDREW RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
433 77TH ST, BROOKLYN, NY 11209-3205
(718) 238-1155
Mailing address
433 77TH ST, BROOKLYN, NY 11209-3205
(718) 238-1155

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
224966
NY

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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