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

Mrs. Kathleen Marie Russo

Individual provider Specialist · NPI 1427481639

Mrs. Kathleen Marie Russo is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

3 Coale Ave
Staten Island, NY 10314-2926
Phone: (718) 551-1677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 215339696 (NY)

Record details

NPI number1427481639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2013
Last updated in NPPESAugust 12, 2013

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