Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxianne Russo

Individual provider Specialist · NPI 1538634720

Maxianne Russo is a Specialist in Seaford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

750 Hicksville Rd
Seaford, NY 11783-1328
Phone: (516) 520-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1098630171 (NY)

Record details

NPI number1538634720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018
Mailing address750 Hicksville Rd, Seaford, NY 11783-1328

Other providers in Seaford