License holder summary

RUSSONIELLO MICHAEL A is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for RUSSONIELLO MICHAEL A is PORT JERVIS NY. This doctor license is not current. The license was granted 10/05/1979.

New York

Office of the Professions

RUSSONIELLO MICHAEL A
Medicine (Physician, Including M Ds & D Os)
License number
140128
Date granted
10/05/1979
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
PORT JERVIS NY
nymedicine.org
ID 30263949
LAST UPDATED 2026-05-06 01:39:54 UTC

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