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Richard Russ, OTR

NPI 1043705338 · on the registry since 2018 · sole proprietor

Practice

Address
30 Merritt Ave
Massapequa, NY 11758
Phone
(516) 795-8994

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Also registered as
225XG0600X
225XH1200X
225XH1300X
225XN1300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York