Russo, Ashlyn Marie

Russo, Ashlyn Marie is an individual health care provider with primary practice located at 75 Grand Ave , Massapequa NY 11758-4905. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Russo, Ashlyn Marie can be contacted via phone (516) 799-3203.

Contact Information

Primary practice address
75 Grand Ave Massapequa NY 11758-4905
Phone: (516) 799-3203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1093436917
LBN Legal business name Russo, Ashlyn Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2022
Last updated Sep 8th, 2022 - about 2 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