Michael James Russo, LMSW
NPI #1699947242 in Hampton Bays, New York
Provider Information
- NPI Number
- 1699947242
- Entity Type
- Individual
- Name
- Michael James Russo, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Mar 24, 2008
- Last Updated
- Mar 24, 2008
Practice Location
- Address
- 19 MAIDSTONE LN
- City
- Hampton Bays
- State
- New York
- ZIP Code
- 11946-1670
- Phone
- (631) 728-8577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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