Individual
ARIEL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
102 HACKETT BLVD, ALBANY, NY 12209-1543
(518) 431-1650
(518) 447-0429
Mailing address
60 ACADEMY RD, PARSONS CHILD AND FAMILY CENTER, ALBANY, NY 12208-3103
(518) 431-1650
(518) 447-0429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
080156-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555793
—
NY
Enumeration date
06/05/2012
Last updated
06/05/2012
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