Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAFFAELA D RUSSO, M.D.
Active Sole ProprietorRAFFAELA D RUSSO, M.D. is a Clinical & Laboratory Immunology healthcare provider located in STATEN ISLAND, New York. NPI 1316932544 is currently active in the NPPES registry. Verify at CMS.
Clinical & Laboratory Immunology · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1316932544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2005 (20.947469654782 yrs)
- Last Updated
- Jan 21, 2008
- License
-
144141 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3993 RICHMOND AVESTATEN ISLAND, NY, 10312Browse NY providers · Browse ZIP 10312
- Phone
- 7183176252
- Fax
- 7183175718
- Primary Specialty
-
Clinical & Laboratory Immunology
207KI0005X
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.