Individual
DR. RUSSELL WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15-17 THIRD STREET, C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY, TROY, NY 12180
(518) 768-0667
(518) 279-7559
Mailing address
15-17 THIRD STREET, C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY, TROY, NY 12180
(518) 768-0667
(518) 279-7559
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
018097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03124210
—
NY
Enumeration date
12/15/2006
Last updated
08/30/2010
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