Individual
PAUL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
15 HANOVER PL, BROOKLYN, NY 11201-5839
(347) 916-0333
(718) 246-1481
Mailing address
15 HANOVER PL, BROOKLYN, NY 11201-5839
(347) 916-0333
(718) 246-1481
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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