STEPHEN JOHN RUSSO

MINEOLA, NY
NPI1093826778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  0113131)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. STEPHEN JOHN RUSSO PhD
302 WILLIS AVENUE
MINEOLA, NY 11501
Phone number: 516-448-3015
Mailing Address
Dr. STEPHEN JOHN RUSSO PhD
20 WHISTLERHILL LANE
HUNTINGTON, NY 11743
Phone number: 516-448-3015
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