Diane Marie Russo
Diane Marie Russo is a Mental Health Counselor in New York, New York. Licensed in New York. Registered with an NPI since 2019.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
2090 Adam Clayton Powell Jr BlvdNew York, NY 10027-4990
Phone: (212) 663-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 100854-01 (NY) |
|---|
Record details
| NPI number | 1568022333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 14, 2019 |
| Last updated in NPPES | June 14, 2019 |
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