Russo, Deirdre Lee

Russo, Deirdre Lee is an sole proprietor health care provider with primary practice located at 100 S Jersey Ave Suite 42, East Setauket NY 11733-2034. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Russo, Deirdre Lee can be contacted via phone (631) 689-1728.

Contact Information

Primary practice address
100 S Jersey Ave Suite 42 East Setauket NY 11733-2034
Phone: (631) 689-1728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X P97555 New York

Profile Details

NPI number 1457722464
LBN Legal business name Russo, Deirdre Lee
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2015
Last updated Oct 16th, 2015 - about 11 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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