Organization · Type 2 NPI

Michael Russ, MD PC

Medical Specialty Clinic/Center · Glen Cove, NY

NPI number 1437184959 Active

Practice location

70 Glen St, Suite 380
Glen Cove, NY 11542-2855

Fax (516) 759-6627

Mailing address

100 Daly Blvd, #2505
Oceanside, NY 11572-6000

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X188435 (NY)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

19 other providers at this address

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About NPI 1437184959

Michael Russ, MD PC's National Provider Identifier is 1437184959, issued on Jul 12, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Glen Cove, NY. The record was last updated on Aug 22, 2020.