MARY RUSSO

SYRACUSE, NY
NPI1205922382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: NY  002593-1)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
-- MARY RUSSO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4220
Mailing Address
-- MARY RUSSO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: