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Mitchell Russo
NPI 1548684558 · on the registry since 2014 · sole proprietor
Practice
- Address
- 234 Sara Ct
Yorktown Heights, NY 10598 - Phone
- (914) 262-4348
Registry record
- Primary taxonomy
- 252Y00000X
252Y00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-11
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