Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maxianne Russo

Individual provider Specialist · NPI 1538634720

Maxianne Russo is a Specialist in Seaford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

750 Hicksville Rd
Seaford, NY 11783-1328
Phone: (516) 520-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1098630171 (NY)

Record details

NPI number1538634720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018

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