Organization
RUSSO SPEECH PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L RUSSO M.A., CCCSLP (SPEECH/LANGUAGE PATHOLOGIST)
(516) 785-2509
Entity
Organization
Contact information
Practice address
3400 MELVIN PL, SEAFORD, NY 11783-2918
(516) 785-2509
(516) 785-2509
Mailing address
3400 MELVIN PL, SEAFORD, NY 11783-2918
(516) 785-2509
(516) 785-2509
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0098791
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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