Russell, Stephanie Michelle

Russell, Stephanie Michelle is an individual health care provider with primary practice located at 1211 Stewart Ave Ste 100 , Bethpage NY 11714-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Stephanie Michelle can be contacted via phone (399) 851-6465.

Contact Information

Primary practice address
1211 Stewart Ave Ste 100 Bethpage NY 11714-1601
Phone: (399) 851-6465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 009894 New York

Profile Details

NPI number 1568070316
LBN Legal business name Russell, Stephanie Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Jul 31st, 2020 - about 5 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.

Request for update

Popular Providers