Organization
RUSSELL S. WOLFF, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL S WOLFF PH.D. (PSYCHOLOGIST)
(518) 768-0667
Entity
Organization
Contact information
Practice address
C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY, 15-17 THIRD STREET, TROY, NY 12180
(518) 768-0667
(518) 279-7559
Mailing address
C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY, 15-17 THIRD STREET, TROY, NY 12180
(518) 768-0667
(518) 279-7559
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
018097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03124210
—
NY
Enumeration date
06/03/2009
Last updated
12/13/2010
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