Individual
DR. JOSEPH ANTHONY RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
25 CANTERBURY RD, SUITE #308, ROCHESTER, NY 14607-3403
(585) 506-6096
(585) 442-5971
Mailing address
25 CANTERBURY RD, SUITE #308, ROCHESTER, NY 14607-3403
(585) 506-6096
(585) 442-5971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183488FC
PREFERRED CARE
NY
Enumeration date
03/22/2007
Last updated
07/08/2007
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