Organization
THOMAS J. RUSSI MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J RUSSI M.D. (PRESIDENT)
(718) 238-4305
Entity
Organization
Contact information
Practice address
9920 4TH AVE, SUITE 109, BROOKLYN, NY 11209-8333
(718) 238-4305
Mailing address
9920 4TH AVE, SUITE 109, BROOKLYN, NY 11209-8333
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
192288
NY
Other
Enumeration date
08/30/2006
Last updated
12/05/2011
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