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1700216744
COLLEEN A RUSSO
BUFFALO, NY
NPI
1700216744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F401666-1)
Enumeration Date
2013-11-12
Last Update Date
2014-10-02
Business Address
Mrs. COLLEEN A RUSSO PMHNP
462 GRIDER STREET UNIVERSITY PSYCHIATRY PRACTICE, INC
BUFFALO, NY 14215
Phone number: 716-898-4857
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Mailing Address
Mrs. COLLEEN A RUSSO PMHNP
462 GRIDER STREET UNIVERSITY PSYCHIATRY PRACTICE, INC
BUFFALO, NY 14215
Phone number: 716-898-4857
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