Wolff, Russell

Wolff, Russell is an sole proprietor health care provider with primary practice located at 15-17 Third Street C/O Independent Living Center Of The Hudson Valley, Troy NY 12180. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wolff, Russell can be contacted via phone (518) 768-0667.

Contact Information

Primary practice address
15-17 Third Street C/O Independent Living Center Of The Hudson Valley Troy NY 12180
Phone: (518) 768-0667
Fax: (518) 279-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 018097 New York

Profile Details

NPI number 1992867774
LBN Legal business name Wolff, Russell
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Aug 30th, 2010 - about 15 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 1992867774 NPPES
New York MEDICAID 03124210

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