Laura Ann Russo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004224 Issued in NY

Practice address

69 Crocus Ave
Floral Park, NY 11001-2635

Phone

(516) 437-2648

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1023315280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CROCUS AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012635",
            "telephone_number": "516-437-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CROCUS AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012635",
            "telephone_number": "516-437-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Josephine Roy, M.ED.
• Eliz Chakrian Rudzewick, MSPT
• Marie T Ruggles, RD
• Joseph Paul Ruisi, DDS
• John G Rupolo, DC
• Suresh Kumar Sagar, FNP
• Julian M Salazar, OTR/L
• Lilly Samuel, RPH
• Lillian Sanabria-Hernandez, M.S.ED.
• Sarana Drugs LLC

• Speech-Language Pathologist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.