Individual
LAUREN ANN WILLIAMS-RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6059
Mailing address
3411 WAYNE AVE FL 6, BRONX, NY 10467-2552
(718) 920-6059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288820
NY
Other
Enumeration date
03/29/2013
Last updated
07/21/2022
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