Individual
ASHLEE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 ADAMS AVE, HAUPPAUGE, NY 11788-3604
(934) 223-6500
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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