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Kathleen Russo
NPI 1427481639 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3 Coale Ave
Staten Island, NY 10314 - Phone
- (718) 551-1677
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-12
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