Individual
DR. PAUL DONNALD RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-6831
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-6831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NYV6077
NY
Other
Enumeration date
03/14/2006
Last updated
01/12/2012
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