IndividualActive
Raffaela Russo, M.D.
NPI 1316932544 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Staten Island, NY
Provider details
- NPI number
- 1316932544
- Entity type
- Individual
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 144141 (NY)
Specialties & taxonomies
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianPrimary207KI0005XLicense 144141 (NY)
Allopathic & Osteopathic Physicians
Practice location
3993 Richmond Ave
Staten Island, NY 10312
Phone: (718) 317-6252
Fax: (718) 317-5718
Approximate (ZIP-level) locationGet directions
Mailing address
3993 Richmond Ave
Staten Island, NY 10312
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2008-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.