Individual
DR. ALLISON BETH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
726 BROADWAY, SUITE 471, NEW YORK, NY 10003-9502
(212) 998-4780
Mailing address
726 BROADWAY, SUITE 471, NEW YORK, NY 10003-9502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020239
NY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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