Individual
BARBARA ANN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3631
(516) 512-5200
(516) 512-5301
Mailing address
99 PLYMOUTH DR N, GLEN HEAD, NY 11545-1126
(516) 759-6575
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
183828
NY
Other
Enumeration date
05/07/2007
Last updated
12/09/2009
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