Individual
MRS. MARIAN A RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
688 WHITE PLAINS RD STE 21, SCARSDALE, NY 10583-5059
(914) 725-8688
Mailing address
435 WYNNEWOOD RD, PELHAM MANOR, NY 10803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
205893-1
NY
Other
Enumeration date
02/02/2006
Last updated
12/08/2023
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