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Katherine Russo

NPI 1093594210 · on the registry since 2023

Practice

Address
193 Broadway
West Babylon, NY 11704
Phone
(631) 339-2668

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York