Russo, Deirdre Lee
Russo, Deirdre Lee is an sole proprietor health care provider with primary practice located at 100 S Jersey Ave Suite 42, East Setauket NY 11733-2034. 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, Deirdre Lee can be contacted via phone (631) 689-1728.Contact Information
Primary practice address
100 S Jersey Ave Suite 42
East Setauket NY 11733-2034
Phone: (631) 689-1728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | P97555 | New York |
Profile Details
| NPI number | 1457722464 |
|---|---|
| LBN Legal business name | Russo, Deirdre Lee |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2015 |
| Last updated | Oct 16th, 2015 - about 9 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.
Popular Providers
-
Cramer, Darci Beth
507 Main St , East Aurora NY 14052-1703 -
Schreiner, Susan Pilson
1210 Mcfadden Dr , East Northport NY 11731-2722 -
Rivera, Catherine
3771 Nesconset Hwy Ste 214 , South Setauket NY 11720-1154 -
Roche, Michael
3771 Nesconset Hwy Ste 214 , South Setauket NY 11720-1154 -
Digennaro, Christine Ann
175 Route 25A Ste 10 , Setauket NY 11733-2947 -
Gleason, Alexandra
15 Dave Ln , South Setauket NY 11720-1006 -
Rusak, Rosalie J
4 Dentree Path , East Hampton NY 11937-1116 -
Mancuso, Dana Jean
3771 Nesconset Hwy Ste 214, South Setauket NY 11720-1163