Russo, Angel M.

Russo, Angel M. is an sole proprietor health care provider with primary practice located at 6541 Webster Rd , Orchard Park NY 14127-1920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russo, Angel M. can be contacted via phone (716) 667-7031.

Contact Information

Primary practice address
6541 Webster Rd Orchard Park NY 14127-1920
Phone: (716) 667-7031
Fax: (716) 667-7034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11656-1 New York

Profile Details

NPI number 1457376543
LBN Legal business name Russo, Angel M.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 5th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457376543 NPPES
New York Other 000511671007 BLUE CROSS & BLUE SHIELD
New York Other 6105576 BLUE CROSS & BLUE SHIELD
New York Other 00020246901 BLUE CROSS & BLUE SHIELD

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