MICHAEL RUSS, MD PC
Ambulatory Health at Glen St, Glen Cove, NY

License number
New York 188435
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. MICHAEL LOYD RUSS MD
Title: PRESIDENT
Phone: (516) 255-0620
Address
Address 2
70 Glen St SUITE 380, Glen Cove, NY 11542
100 Daly Blvd #2505, Rockville Centre, NY 11572
National Provider ID: 1437184959
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL RUSS, M.D., PC

100 Daly Blvd APT 2505, Oceanside, NY 11572

Industry:
Disability Claims Evaluation
Doing business as:
Michael Russ MD PC
Registration:
Oct 2, 2003
State ID:
2960802
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Presidents:
Michael Russ Md, 100 Daly Blvd APT 2505, Oceanside, NY 11572 (Physical),Michael Russ (President)

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