Joseph Anthony Russo in Rochester - Clinical
Joseph Anthony Russo - NPI 1750407664
Joseph Anthony Russo is a Clinical in Rochester, New York. Joseph Anthony Russo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph Anthony Russo is 1750407664. The last update date is 2007-07-08.
Joseph Anthony Russo's current location address is 25 Canterbury Rd, Rochester, New York. You can contact this provider via phone number 5855066096 and fax number 5854425971. The mailing address for Joseph Anthony Russo is 25 Canterbury Rd, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Anthony Russo |
|---|---|
| Address | 25 Canterbury Rd, Rochester, New York |
| Phone Number | 5855066096 |
| Fax Number | 5854425971 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1750407664 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Canterbury Rd |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146073403 |
| Phone Number | 5855066096 |
| Fax Number | 5854425971 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 12173 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183488FC | NY | PREFERRED CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joseph Anthony Russo by the Centers for Medicare & Medicaid Services?
The Joseph Anthony Russo has been assigned the NPI (National Provider Identifier) 1750407664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Joseph Anthony Russo?
The Joseph Anthony Russo is physically situated at 25 Canterbury Rd, in the city of Rochester, state of NY, with the postal code 146073403.
What is the Joseph Anthony Russo's area of specialization and corresponding taxonomy classification?
The Joseph Anthony Russo's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750407664 to Joseph Anthony Russo?
The Centers for Medicare & Medicaid Services originally issued the 1750407664 to Joseph Anthony Russo on 2007-03-22.
As of what date were the details pertaining to Joseph Anthony Russo last refreshed?
The information related to the Joseph Anthony Russo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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