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Contact Information

JOSEPH RUSSO, MD
270 PARK AVE
HUNTINGTON, NY11743-2787
 Phone: 631-351-2785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH RUSSO · (Male)

NPI Number 1689670358
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2005
Last updated 11/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 169852
  • NY Medicaid 01116976
  • NY Other 050058895 RAILROAD MEDICARE
  • NY Other CN4350 RAILROAD MEDICARE
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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