SearchNew York101YA0400X

Diane Russo, CASAC

NPI 1205474640 · on the registry since 2019 · sole proprietor

Practice

Address
281 Phelps Ln
North Babylon, NY 11703
Phone
(631) 422-7676
Clinicians at this address
14

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York