GWENDOLYN CASEY RUSSO

EAST SETAUKET, NY
NPI1144358409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  58 015581)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- GWENDOLYN CASEY RUSSO
14 RESEARCH WAY
EAST SETAUKET, NY 11733-3453
Phone number: 631-331-6400
Mailing Address
-- GWENDOLYN CASEY RUSSO
54 SHINBONE LN
COMMACK, NY 11725-5517
Phone number:
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