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.
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