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Gerald Russo, M.D
NPI 1821176819 · on the registry since 2006 · sole proprietor
Practice
- Address
- 21 White Birch Dr
Dix Hills, NY 11746 - Phone
- (631) 385-5113
- Fax
- (631) 421-1323
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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