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1689990616
JACK RUSSO
BROOKLYN, NY
NPI
1689990616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: NY 277526)
Enumeration Date
2010-04-15
Last Update Date
2019-02-04
Business Address
JACK RUSSO MD
300 CADMAN PLZ W STE 1301
BROOKLYN, NY 11201-3229
Phone number: 718-208-4449
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Mailing Address
JACK RUSSO MD
660 WHITE PLAINS RD FL 4
TARRYTOWN, NY 10591-5139
Phone number: 914-984-2546
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