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Michael Russ, Md Pc
Medical Specialty Clinic/Center in Glen Cove, New York
NPI 1437184959

Michael Russ, Md Pc is a Medical Specialty Clinic/Center based in Oceanside, NY and is specialized in Medical Specialty. Michael Russ, Md Pc practices in Glen Cove, NY. The NPI Number for Michael Russ, Md Pc is 1437184959 and holds a License No. 188435 (New York).

The current practice location address for Michael Russ, Md Pc is 70 Glen St, Glen Cove, NY and can be reached out via phone at 516-759-2424 and via fax at 516-759-6627.

Location: 70 Glen St, Glen Cove, NY, 11572-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437184959
Provider Name
Michael Russ, Md Pc
Credential
Provider Entity Type
Organization
Address
70 Glen St, Glen Cove, NY, 11572-6000
Phone Number
516-759-2424
Fax Number
516-759-6627
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
70 Glen St
City
Glen Cove
State
New York
Zip
11542-2855
Phone Number
516-759-2424
Fax Number
516-759-6627
person
Provider Business Mailing Address Details
Address
70 Glen St
City
Glen Cove
State
New York
Zip
11542-2855
Phone Number
516-759-2424
Fax Number
516-759-6627
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
188435 (New York)
Definition
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).
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