Individual
ASHLEY TAYLOR RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1111 FRANKLIN AVE, GARDEN CITY, NY 11530-1617
(516) 742-3100
Mailing address
222 STATION PLZ N STE 305, MINEOLA, NY 11501-3893
(516) 663-4798
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007383
NY
Other
Enumeration date
04/29/2021
Last updated
07/19/2024
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