Individual
ANGELA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 GRAMATAN AVE APT 4E, MOUNT VERNON, NY 10552-3049
(914) 217-5068
Mailing address
514 GRAMATAN AVE APT 4E, MOUNT VERNON, NY 10552-3049
(914) 217-5068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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