Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTONINO RUSSO, DDS
Active Sole ProprietorDR. ANTONINO RUSSO, DDS is a Orthodontics healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1497860837 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1497860837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (19.956149797978 yrs)
- Last Updated
- Jul 8, 2007
- License
-
38381 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5225 NESCONSET HWYSUITE 3PORT JEFFERSON STATION, NY, 117762053Browse NY providers · Browse ZIP 11776
- Phone
- 6314736661
- Fax
- 6314736967
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| ROBERT JAY GOLDMAN | D.D.S. | 1427110428 |
| DR. ELLIOT STEPHEN TAYNOR | D.D.S. | 1053473058 |
| MARK ANTHONY RIENECKER | D.D.S. | 1255493276 |
| PATRICK JAMES SABO | D.M.D. | 1053474601 |
| DR. BAHARAK FOOLADI | DDS | 1407995673 |
| YONATAN COHEN | D.M.D., MS | 1912375791 |
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.