DAVIS RUSSAL SAMUEL

EAST MEADOW, NY
NPI1023376274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0200X Internal Medicine Critical Care Medicine
(Licence: PA  OS019189)
Enumeration Date2012-04-25
Last Update Date2019-09-25
Business Address
DR. DAVIS RUSSAL SAMUEL D.O.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-0123
Mailing Address
DR. DAVIS RUSSAL SAMUEL D.O.
8902 BLOOMFIELD PL
PHILADELPHIA, PA 19115-4506
Phone number: 267-879-0970
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