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1548684558
MITCHELL RUSSO
YORKTOWN HEIGHTS, NY
NPI
1548684558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 403134031)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
-- MITCHELL RUSSO
234 SARA CT
YORKTOWN HEIGHTS, NY 10598-3839
Phone number: 914-262-4348
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Mailing Address
-- MITCHELL RUSSO
234 SARA CT
YORKTOWN HEIGHTS, NY 10598-3839
Phone number: 914-262-4348
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