Russo, Sandra Ann
Russo, Sandra Ann is an individual health care provider with primary practice located at 990 Stewart Ave , Garden City NY 11530-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Russo, Sandra Ann can be contacted via phone (516) 222-2022.Contact Information
Primary practice address
990 Stewart Ave
Garden City NY 11530-4822
Phone: (516) 222-2022
Fax: (516) 222-8475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 203514-1 | New York |
Profile Details
| NPI number | 1770539918 |
|---|---|
| LBN Legal business name | Russo, Sandra Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 29th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770539918 | NPPES |
| New York | MEDICAID | 01665296 |
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