EDWARD NICHOLAS RUSSO

COMMACK, NY
NPI1003954215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: NY  040596)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Dr. EDWARD NICHOLAS RUSSO DMD
2171 JERICHO TURNPIKE SUITE # 145
COMMACK, NY 11725
Phone number: 631-462-6888
Mailing Address
Dr. EDWARD NICHOLAS RUSSO DMD
2171 JERICHO TURNPIKE SUITE # 145
COMMACK, NY 11725
Phone number: