Individual
DR. SCOTT LESLIE RUSSINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1985 CROMPOND RD, CARE MOUNT MEDICAL , PC, CORTLANDT MANOR, NY 10567-4146
(914) 241-1050
(914) 739-2185
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60-240756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02830899
—
NY
Enumeration date
02/13/2006
Last updated
11/11/2016
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