THE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, P.C.
Medical Practice at Forest Ave, Staten Island, NY

License number
New York 238185-1
Category
Medical Practice
Type
Specialist
Owner
Name: BERT BARRY
Title: OFFICE MANAGER
Phone: (718) 727-9544
Address
Address
131 Forest Ave, Staten Island, NY 10301
National Provider ID: 1063699783
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, P.C. at bizstanding.com

THE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, PC

131 Frst Ave, Staten Island, NY 10301

Registration:
Jul 30, 2007
State ID:
3549592
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Carol M Russell, 131 Frst Ave, Staten Island, NY 10301 (Physical)
Agent:
Esq Ronald J. Mazzucco,686 Frst Ave, Staten Island, NY 10310 (Physical)

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