Individual
MS. ROSALIE J RUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S IN MFT
Contact information
Practice address
4 DENTREE PATH, EAST HAMPTON, NY 11937-1116
(631) 324-3117
(631) 324-3117
Mailing address
4 DENTREE PATH, EAST HAMPTON, NY 11937-1116
(631) 324-3117
(631) 324-3117
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000219-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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