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1134419229
RAYMOND MICHAEL RUSSO
PLEASANTVILLE, NY
NPI
1134419229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 090065)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
Dr. RAYMOND MICHAEL RUSSO M.D.
679 BEDFORD RD
PLEASANTVILLE, NY 10570-3349
Phone number: 914-769-1377
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Mailing Address
Dr. RAYMOND MICHAEL RUSSO M.D.
679 BEDFORD RD
PLEASANTVILLE, NY 10570-3349
Phone number: 914-769-1377
Copy
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