Dawn Michelle Russo-Sperandio, TEACHER

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

314 Wading River Rd
Manorville, NY 11949-3444

Phone

(516) 523-2495

NPI assigned

Jul 20, 2012

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

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1033464490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WADING RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493444",
            "telephone_number": "516-523-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WADING RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493444",
            "telephone_number": "516-523-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO-SPERANDIO",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "credential": "TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rogan, OTR/L
• Lori Ann Rosenbaum
• Heather I Ross, LAC
• Robert Daniel Rubin, D.O.
• Tina Ruggiero, PH.D.
• Carmen Ruvola
• Peter J Saccone, D.C
• Daniel M Salaway, MS, MT-BC, LCAT
• Alexandra Salazar, MS, RD, CDE, CDN
• Melissa Sander

• Specialist in Manorville, NY
• Providers in Manorville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.