CHARLES LANCE RUSSO

BROOKLYN, NY
NPI1942264189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: NY  003120)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
-- CHARLES LANCE RUSSO DPM
481 ST MARKS AVE
BROOKLYN, NY 11238
Phone number: 718-638-8185
Mailing Address
-- CHARLES LANCE RUSSO DPM
2260 BENSON AVE APT 4K
BROOKLYN, NY 11214
Phone number: 917-518-3878
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