LOUIS RUSSO

GOSHEN, NY
NPI1912298068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  409013)
Enumeration Date2011-04-25
Last Update Date2011-04-25
Business Address
-- LOUIS RUSSO RN
224 MAIN ST
GOSHEN, NY 10924-2157
Phone number: 845-294-5888
Mailing Address
-- LOUIS RUSSO RN
224 MAIN ST
GOSHEN, NY 10924-2157
Phone number: 845-294-5888
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