RAFFAELA D RUSSO


Address: 3993 Richmond Ave, Staten Island, NY 10312
Phone: 7183176252

RAFFAELA D RUSSO (NPI# 1316932544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316932544
Entity Type Individual
Full Name RAFFAELA D RUSSO
Other Name RAFFAELA D RUSSO
Credential M.D.
Practice Address 3993 Richmond Ave
Staten Island
NY 10312
Practice Telephone 7183176252
Practice Fax Number 7183175718
Mailing Telephone 7183176252
Mailing Fax Number 7183175718
Enumeration Date 2005-09-14
Last Update Date 2008-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KI0005X Allergy & Immunology
Specialization: Clinical & Laboratory Immunology
144141 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 3993 RICHMOND AVE
City STATEN ISLAND
State NY
Zip Code 10312

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Taxonomy Information

Taxonomy Code 207KI0005X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Clinical & Laboratory Immunology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548550213 Center for Better Sleep, Inc. Allergy & Immunology 2598 3rd Ave, Bronx, NY 10454-1118 2011-04-14
1700921277 Howard Jay Hoffman Allergy & Immunology 916 Cornaga Ave, Far Rockaway, NY 11691 2007-02-21
1851493399 Jesse Morton Hilsen Allergy & Immunology 29 Grant St, Walden, NY 12586-1829 2006-09-04
1780676304 Beutner Labs Inc Allergy & Immunology 3580 Harlem Rd, Buffalo, NY 14215-2045 2005-08-19
1992959605 St. John's Episcopal Hospital Allergy & Immunology 327 Beach 19th St, Far Rockaway, NY 11691-4423 2008-11-07
1821259920 Michel C Nussenzweig Allergy & Immunology 1230 York Ave, The Rockefeller University, New York, NY 10065-6307 2008-06-20
1851591994 Wellness Institute, Inc. Allergy & Immunology 337 N Main St, Suite 6a, New City, NY 10956-4310 2007-07-18
1669685798 Avraham Kadar Allergy & Immunology 666 Lexington Ave, Suite 102, Mount Kisco, NY 10549-3632 2007-05-07
1477680817 Joseph S Wojcik Md PC Allergy & Immunology 525 Bronxville Road, Suite 1g, Yonkers, NY 10708-1137 2007-02-27
1710065925 Silviu Itescu Allergy & Immunology 177 Fort Washington Ave, 7-453gn, New York, NY 10032-3733 2006-11-02
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Competitor

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City STATEN ISLAND
Zip Code 10312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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