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Marvin Russo, OTR/L
NPI 1396059655 · on the registry since 2010 · sole proprietor
Practice
- Address
- 103 Cypress Dr
Woodbury, NY 11797 - Phone
- (516) 448-7598
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 174400000X
225X00000X - Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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