Russo, Maria Theresa

Russo, Maria Theresa is an sole proprietor health care provider with primary practice located at 7 Wildflower Lane , East Hampton NY 11937-0254. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russo, Maria Theresa can be contacted via phone (631) 329-3185.

Contact Information

Primary practice address
7 Wildflower Lane East Hampton NY 11937-0254
Phone: (631) 329-3185
Fax: (631) 907-0726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010078 New York

Profile Details

NPI number 1558490466
LBN Legal business name Russo, Maria Theresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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