Individual
ALEXA DERUSCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HENRIETTA BVLD, AMSTERDAM, NY 12010
(518) 843-3003
Mailing address
30 KEATOR DR, SCHENECTADY, NY 12306-2515
(518) 852-7332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P137070
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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