MR. Matthew R Russo, LPN

NPI #1639491194 in Harrison, New York

Provider Information

NPI Number
1639491194
Entity Type
Individual
Name
MR. Matthew R Russo, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 24, 2010
Last Updated
Feb 24, 2010

Practice Location

Address
41 CONGRESS ST
ZIP Code
10528-2901
Phone
(914) 835-6464

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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