MS. Angela Russo-Smith, M.A.

NPI #1609926914 in Roslyn, New York

Provider Information

NPI Number: 1609926914
Entity Type: Individual
Name: MS. Angela Russo-Smith, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Credential: M.A.
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1441 OLD NORTHERN BLVD
City: Roslyn
State: New York
ZIP Code: 11576-2146
Phone: (516) 625-6846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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