Organization
GRACE RUSSO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE RUSSO M.S., ED. (PRESIDENT)
(914) 443-0138
Entity
Organization
Contact information
Practice address
43 CONESTOGA TRL, SPARTA, NJ 07871-2509
(973) 726-7786
(973) 726-7786
Mailing address
43 CONESTOGA TRL, SPARTA, NJ 07871-2509
(973) 726-7786
(973) 726-7786
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
09/28/2008
Last updated
09/28/2008
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