- Practice location
- 3600 Jerome Ave, Bronx, NY 10467-1052
- Phone
- 718-881-7600
- Fax
- 718-654-1465
- Last updated
- January 14, 2009
Sandy Russo is a Counselor, Mental Health based in Bronx, NY. Sandy Russo practices in Bronx, NY. The NPI Number for Sandy Russo is 1720116445 and holds a License No. 002149-1 (NY). The current practice location address for Sandy Russo is 3600 Jerome Ave, Bronx, NY 10467-1052 and can be reached out via phone at 718-881-7600 and via fax at 718-654-1465.
Provider Profile Details
- NPI Number
- 1720116445
- Provider Name
- Sandy Russo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3600 Jerome Ave, Bronx, NY 10467-1052
- Phone Number
- 718-881-7600
- Fax Number
- 718-654-1465
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 2, 2007
- Last Update Date
- January 14, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3600 Jerome Ave
Bronx, NY 10467-1052 - City
- Bronx
- State
- New York
- Zip
- 10467-1052
- Phone Number
- 718-881-7600
- Fax Number
- 718-654-1465
Provider Business Mailing Address Details
- Address
- 19 Hunter St
Mamaroneck, NY 10543-3108 - City
- Mamaroneck
- State
- NY
- Zip
- 10543-3108
License Information
- License Number (1)
- 002149-1
- License State (1)
- NY
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License State (2)
- NY
- Taxonomy (2)
- Rehabilitation Counselor · 225C00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Bronx, NY
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Frequently Asked Questions
What is the NPI number of Mrs. Sandy Russo?
The NPI number of Mrs. Sandy Russo is 1720116445. It was assigned on March 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Sandy Russo?
Mrs. Sandy Russo is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 002149-1.
Where does Mrs. Sandy Russo practice?
The practice location is 3600 Jerome Ave, Bronx, NY 10467-1052. The office can be reached at 718-881-7600 (phone) or 718-654-1465 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720116445 directly on the NPPES registry website.