Edward Nicholas Russo in Commack - Endodontics
Edward Nicholas Russo - NPI 1003954215
Edward Nicholas Russo is a Endodontics in Commack, New York. Edward Nicholas Russo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Edward Nicholas Russo is 1003954215. The last update date is 2007-07-08.
Edward Nicholas Russo's current location address is 2171 Jericho Turnpike, Commack, New York. You can contact this provider via phone number 6314626888 and fax number 6314990775. The mailing address for Edward Nicholas Russo is 2171 Jericho Turnpike, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Nicholas Russo |
|---|---|
| Address | 2171 Jericho Turnpike, Commack, New York |
| Phone Number | 6314626888 |
| Fax Number | 6314990775 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1003954215 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2171 Jericho Turnpike |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117250 |
| Phone Number | 6314626888 |
| Fax Number | 6314990775 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 40596 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the Edward Nicholas Russo's 1003954215?
The Edward Nicholas Russo's NPI (National Provider Identifier) Number is 1003954215. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edward Nicholas Russo is located?
The Edward Nicholas Russo is situated at the following address: 2171 Jericho Turnpike, Commack, NY, 117250.
What is Edward Nicholas Russo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Nicholas Russo is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003954215 to Edward Nicholas Russo?
The Centers for Medicare & Medicaid Services assigned the 1003954215 to Edward Nicholas Russo on 2007-02-01.
When was the information regarding Edward Nicholas Russo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward Nicholas Russo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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