DR. Giuseppina M Russo, OD

NPI #1033170733 in Medford, New York

Provider Information

NPI Number: 1033170733
Entity Type: Individual
Name: DR. Giuseppina M Russo, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 31, 2006
Last Updated: Jun 28, 2019

Practice Location

Address: 2799 RT 112
Address 2: DAVIS VISION AT KING KUHLEN SHOPPING CENTER
City: Medford
State: New York
ZIP Code: 11763
Phone: (631) 289-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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