THOMAS J. RUSSI MD, PC
Osteopathic Medicine at 4 Ave, Brooklyn, NY

License number
New York 192288
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. THOMAS J RUSSI M.D.
Title: PRESIDENT
Phone: (718) 238-4305
Address
Address
4Th Ave SUITE 109, Brooklyn, NY 11209
National Provider ID: 1922117092
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS J. RUSSI, M.D., PC

Brooklyn, NY

Industry:
Medical Doctor's Office
Doing business as:
Thomas J Russi MD PC
Registration:
Jul 27, 2006
Addresses:
9920 4 Ave 109, Brooklyn, NY 11209 (Physical)
9920 4 Ave, Brooklyn, NY 11209
State ID:
3393670
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctor, President, Principal, Pulmonary Diseases:
Thomas J Russi Medical Doctor, President, Principal, Pulmonary Diseases, inactive, PO Box 46, Hoboken, NJ 07030 (Physical)
Agent:
Thomas J. Russi, M.d,PO Box 46, Hoboken, NJ 07030 (Physical)

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