Individual
DR. JOSEPH RUSSO
Active
Individual
DR. JOSEPH RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01116976
—
NY
01
—
050058895
RAILROAD MEDICARE
NY
01
—
CN4350
RAILROAD MEDICARE
NY
Enumeration date
06/27/2005
Last updated
11/10/2009
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