Individual provider · Type 1 NPI

Sandy Russo

Mental Health Counselor · Bronx, NY

NPI number 1720116445 Active

Practice location

3600 Jerome Ave
Bronx, NY 10467-1052

Call (718) 881-7600 Map

Fax (718) 654-1465

Mailing address

19 Hunter St
Mamaroneck, NY 10543-3108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002149-1 (NY)
Rehabilitation Counselor 225C00000XNone listed

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About NPI 1720116445

Sandy Russo's National Provider Identifier is 1720116445, issued on Mar 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Jan 14, 2009.