Individual
MORGAN D MARRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 USHERS RD STE 8, BALLSTON LAKE, NY 12019
(518) 461-7077
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002589
NY
Other
Enumeration date
06/27/2018
Last updated
07/19/2018
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