← CMS Doctors and Clinicians
FRED C RUSSO
CLINICAL SOCIAL WORKER · EAST NORTHPORT, NY
Provider
- NPI
1821144288- Credential
- —
- Primary specialty
- CLINICAL SOCIAL WORKER
- Gender
- Male
- Medical school
- OTHER
- Graduation year
- 1978
Practice
- Address
- 1023 PULASKI RD, EAST NORTHPORT, NY 117311948
- Phone
- 6312614296
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown