Individual
SUZANNE MARIE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1297 FLINT RD, PENN YAN, NY 14527-9757
(585) 285-0153
Mailing address
1297 FLINT RD, PENN YAN, NY 14527-9757
(585) 285-0153
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
555826
NY
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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