MARIA T RUSSO

Dr MARIA T RUSSO is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1988 from New York University School Of Medicine.

Contact

7 WILDFLOWER LN
EAST HAMPTON
NY
119374323

Tel: 6313293185

MARIA T RUSSO Information

Npi 1558490466
Pac Id 1951590462
Professional Enrollment Id I20110114000495
Last Name RUSSO
First Name MARIA
Middle Name T
Suffix
Gender F
Credential
Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 7 WILDFLOWER LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST HAMPTON
State NY
Zip Code 119374323
Phone Number 6313293185
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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