DIANE J. RUSSO

CORAM, NY
NPI1386987998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  005051)
Enumeration Date2013-04-02
Last Update Date2013-04-02
Business Address
Mrs. DIANE J. RUSSO RPT
18 STUART DRIVE
CORAM, NY 11727
Phone number: 631-331-4639
Mailing Address
Mrs. DIANE J. RUSSO RPT
18 STUART DRIVE
CORAM, NY 11727
Phone number: 631-331-4639
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