ANTONINO RUSSO

PORT JEFFERSON STATION, NY
NPI1497860837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  38381)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Dr. ANTONINO RUSSO DDS
5225 NESCONSET HWY SUITE 3
PORT JEFFERSON STATION, NY 11776-2053
Phone number: 631-473-6661
Mailing Address
Dr. ANTONINO RUSSO DDS
5225 NESCONSET HWY SUITE 3
PORT JEFFERSON STATION, NY 11776-2053
Phone number: 631-473-6661
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