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

MR. MARVIN RUSSO, OTR/L

Active Sole Proprietor

MR. MARVIN RUSSO, OTR/L is a Occupational Therapist healthcare provider located in WOODBURY, New York. NPI 1396059655 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WOODBURY, NY

Registration Details

NPI Number
1396059655
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2010 (16.035626113473 yrs)
Last Updated
Jul 21, 2022
Licenses
006886 (NY)
OT15825 (FL)
006886 (NY)
Sole Proprietor
Yes

Practice Information

Address
103 CYPRESS DR
WOODBURY, NY, 11797
Browse NY providers · Browse ZIP 11797
Phone
5164487598
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in WOODBURY, NY

Name Credential NPI
MRS. STACY M OSTER OCCUPATIONAL THERAPI 1831294248
MRS. FERN GINDER OTR 1104066133
WENDY MARA SHATZ OTR/L 1811220791
REBECCA ZAHTILA MS OTR/L 1598079246
MRS. WENDY RISA GINSBERG OTR/L 1891005849
MRS. DANA MICHELLE MAHAN COTA 1104284538
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.