Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL RUSSO
Active Sole ProprietorMITCHELL RUSSO is a Early Intervention Provider Agency healthcare provider located in YORKTOWN HEIGHTS, New York. NPI 1548684558 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · YORKTOWN HEIGHTS, NY
Registration Details
- NPI Number
- 1548684558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2014 (12.551378165385 yrs)
- Last Updated
- Feb 11, 2014
- License
-
403134031 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
234 SARA CTYORKTOWN HEIGHTS, NY, 105983839Browse NY providers · Browse ZIP 10598
- Phone
- 9142624348
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in YORKTOWN HEIGHTS, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. SUZANNE TAJDUS | — | 1841531670 |
| MRS. ELIZABETH MCGOVERN | — | 1154739704 |
| ORNELA PRELA | — | 1619717741 |
| MS. ASHLEY MARIE HERNANDEZ | — | 1538019971 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.