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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD JAY RUSS, OTR

Active Sole Proprietor

RICHARD JAY RUSS, OTR is a Physical Rehabilitation Occupational Therapist healthcare provider located in MASSAPEQUA, New York. NPI 1043705338 is currently active in the NPPES registry. Verify at CMS.

Physical Rehabilitation Occupational Therapist · MASSAPEQUA, NY

Registration Details

NPI Number
1043705338
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2018 (8.1666079154885 yrs)
Last Updated
Jun 28, 2018
Licenses
2817 (NY)
2817 (NY)
2817 (NY)
2817 (NY)
2817 (NY)
Sole Proprietor
Yes

Practice Information

Address
30 MERRITT AVE
MASSAPEQUA, NY, 117587931
Browse NY providers · Browse ZIP 11758
Phone
5167958994
Additional Specialty
Hand Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.