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Jared Russom
NPI 1396344743 · on the registry since 2020 · sole proprietor
Practice
- Address
- 13 Brookview Ave.
Delmar, NY 12054 - Phone
- (518) 414-2927
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2025-09-11
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