Russo, Rocco

Russo, Rocco is an individual health care provider with primary practice located at 127 Main St , Highland Falls NY 10928-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russo, Rocco can be contacted via phone (845) 446-4076.

Contact Information

Primary practice address
127 Main St Highland Falls NY 10928-4019
Phone: (845) 446-4076
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 035913 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 259143 New York

Profile Details

NPI number 1174664858
LBN Legal business name Russo, Rocco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174664858 NPPES
Connecticut Other 010035913CT ANTHEM
Connecticut MEDICAID 03421327 ANTHEM
Connecticut MEDICAID 1174664858 ANTHEM
Connecticut Other 2V9661 ANTHEM

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