Individual
MYA E RUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 MEADS CREEK RD, PAINTED POST, NY 14870-9509
(607) 661-9716
(607) 962-4300
Mailing address
3805 MEADS CREEK RD, PAINTED POST, NY 14870-9509
(607) 661-9716
(607) 962-4300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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