JOSEPH RUSSO

STATEN ISLAND, NY
NPI1104425974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  7085191)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
Mr. JOSEPH RUSSO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2422
Mailing Address
Mr. JOSEPH RUSSO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2422