Russell, Michael James

Russell, Michael James is an individual health care provider with primary practice located at 368 Veterans Memorial Hwy Ste 3 , Commack NY 11725-4322. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Russell, Michael James can be contacted via phone (631) 533-0315.

Contact Information

Primary practice address
368 Veterans Memorial Hwy Ste 3 Commack NY 11725-4322
Phone: (631) 533-0315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 011062 New York

Profile Details

NPI number 1700478641
LBN Legal business name Russell, Michael James
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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