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1104425974
JOSEPH RUSSO
STATEN ISLAND, NY
NPI
1104425974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 7085191)
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
Mr. JOSEPH RUSSO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2422
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Mailing Address
Mr. JOSEPH RUSSO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2422
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