Individual
DR. FRANK D RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5 COLONY DR, WEST SAYVILLE, NY 11796-1610
(631) 567-4420
Mailing address
5 COLONY DR, WEST SAYVILLE, NY 11796-1610
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004592-1
NY
Other
Enumeration date
06/01/2005
Last updated
08/02/2010
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