Mrs. Diane J. Russo, RPT
Mrs. Diane J. Russo, RPT is a Physical Therapist in Coram, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
18 Stuart DrCoram, NY 11727 Not confirmed with CMS for 13 years — call before visiting
Phone: (631) 331-4639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 005051 (NY) |
|---|
Record details
| NPI number | 1386987998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RPT |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2013 |
| Last updated in NPPES | April 2, 2013 |
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