FRED CIPRIANO RUSSO

EAST NORTHPORT, NY
NPI1821144288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R023424)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Mr. FRED CIPRIANO RUSSO LCSW
1023 PULASKI ROAD
EAST NORTHPORT, NY 11731
Phone number: 631-261-4296
Mailing Address
Mr. FRED CIPRIANO RUSSO LCSW
1023 PULASKI ROAD
EAST NORTHPORT, NY 11731
Phone number: 631-261-4296
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