DR. STEPHEN RUSSO, PHD
Psychologist - Clinical
Active
Individual
NPI: 1093826778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 0113131 (NY) |
Frequently Asked Questions
NPI 1093826778 is the National Provider Identifier for DR. STEPHEN RUSSO, PHD, a Psychologist - Clinical provider located in Mineola, NY. This NPI was enumerated on August 31, 2006.
DR. STEPHEN RUSSO, PHD practices at 302 WILLIS AVENUE, Mineola, NY 11501.
Quick Facts
- NPI
- 1093826778
- Type
- Individual
- Enumerated
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
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