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Domenick Russolello
NPI 1750836078 · on the registry since 2016
Practice
- Address
- 1141 Route 55
Ste A
Lagrangeville, NY 12540 - Phone
- (845) 895-1115
- Fax
- (845) 895-1116
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-16
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