Individual
ALEXANDRA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PLACE, NEW YORK, NY 10029-6574
(212) 987-3063
Mailing address
1 GUSTAVE L LEVY PLACE, NEW YORK, NY 10029-6574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088307-1
NY
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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