Individual
JOSEFA T RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
222 WESTCHESTER AVE, 1ST FLOOR, WEST HARRISON, NY 10604-2906
(914) 946-1010
Mailing address
41 E POST RD, ADMINISTRATION, WHITE PLAINS, NY 10601-4607
(914) 681-1210
(914) 681-2839
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
017465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017465
REGISTRATION NUMBER
NY
Enumeration date
09/06/2012
Last updated
09/06/2012
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