Individual
ANTHONY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 QUARTERDECK PL, ROCHESTER, NY 14612-1432
(585) 704-2878
Mailing address
163 QUARTERDECK PL, ROCHESTER, NY 14612-1432
(585) 704-2878
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
056397
NY
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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