Maxianne Russo is a Specialist based in Seaford, NY. Maxianne Russo practices in Seaford, NY. The NPI Number for Maxianne Russo is 1538634720 and holds a License No. 1098630171 (New York).
The current practice location address for Maxianne Russo is 750 Hicksville Rd, Seaford, NY and can be reached out via phone at 516-520-6000.
Location: 750 Hicksville Rd, Seaford, NY, 11783-1328
Provider Profile Details
NPI Number
1538634720
Provider Name
Maxianne Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 Hicksville Rd, Seaford, NY, 11783-1328
Phone Number
516-520-6000
Fax Number
Provider Enumeration Date
10/04/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
750 Hicksville Rd
City
State
Zip
11783-1328
Phone Number
516-520-6000
Fax Number
Provider Business Mailing Address Details
Address
750 Hicksville Rd
City
State
Zip
11783-1328
Phone Number
516-520-6000
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1098630171 (New York)
Definition
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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