Individual provider · Type 1 NPI

Maxianne Russo

Specialist · Seaford, NY

NPI number 1538634720 Active

Practice location

750 Hicksville Rd
Seaford, NY 11783-1328

Call (516) 520-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1098630171 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1538634720

Maxianne Russo's National Provider Identifier is 1538634720, issued on Oct 4, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seaford, NY. The record was last updated on Oct 4, 2018.