Organization
R S FAMILY EYE MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT RUSSELL MD (MD)
(347) 730-4606
Entity
Organization
Contact information
Practice address
9732 63RD RD, REGO PARK, NY 11374-1639
(347) 730-4606
Mailing address
7119 168TH ST, FRESH MEADOWS, NY 11365-3241
(347) 730-4606
(855) 310-5525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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