Individual
LINDA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LIJMC DEPT OF MEDICINE HEM ONC, 270 05 76TH AVENUE, NEW HYDE PARK, NY 11042
(718) 470-7136
Mailing address
LIJMC DEPT OF MEDICINE HEM ONC, LIJMC DEPT OF MEDICINE HEM ONC, NEW HYDE PARK, NY 11042
(718) 470-7136
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
179661
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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