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1053921841
DOROTHY RUSSO
NEW YORK, NY
NPI
1053921841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F431766)
Enumeration Date
2020-08-06
Last Update Date
2021-04-27
Business Address
DOROTHY RUSSO
535 E 70TH ST
NEW YORK, NY 10021-4823
Phone number: 646-797-8917
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Mailing Address
DOROTHY RUSSO
PO BOX 29234
NEW YORK, NY 10087-9234
Phone number: 646-797-8917
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