NPI 1316932544

Raffaela D Russo, MD

Practitioner Clinical & Laboratory Immunology (Allergy & Immunology) Physician Staten Island, NY

Practice location

Address: 3993 Richmond Ave, Staten Island, NY 10312
Phone: (718) 317-6252
Fax: (718) 317-5718

Registered specialties

Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X Licence 144141 (NY)

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Registry record

NPI: 1316932544
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2005
Record last updated: 21 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.