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1487121497
JACQUELINE RUSSO
PLEASANTVILLE, NY
NPI
1487121497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 022242-1)
Enumeration Date
2018-10-28
Last Update Date
2018-10-28
Business Address
Dr. JACQUELINE RUSSO PsyD
351 MANVILLE RD STE 104
PLEASANTVILLE, NY 10570-2166
Phone number: 413-384-9240
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Mailing Address
Dr. JACQUELINE RUSSO PsyD
3083 23RD ST APT 2A
ASTORIA, NY 11102-3325
Phone number: 516-317-1876
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