Therese Eileen Russo, MA | |
989 Route 146, Building 300 Ste 302, Clifton Park, NY 12065-3646 | |
(518) 383-4273 | |
(518) 383-4274 |
Full Name | Therese Eileen Russo |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 989 Route 146, Clifton Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346278272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 0005651 (New York) | Primary |
Provider Name | Kawola-mcadam Audiology |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669188181 PECOS PAC ID: 0143695262 Enrollment ID: O20230403002338 |
Mailing Address | Practice Location Address |
---|---|
Therese Eileen Russo, MA 989 Route 146, Building 300 Ste 302, Clifton Park, NY 12065-3646 Ph: (518) 383-4273 | Therese Eileen Russo, MA 989 Route 146, Building 300 Ste 302, Clifton Park, NY 12065-3646 Ph: (518) 383-4273 |
Alexandra Nicole Gartner, AUD. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 950 Route 146 Ste 200, Clifton Park, NY 12065 Phone: 518-383-4273 Fax: 518-383-4274 | |
Center For Clear Hearing Audiologist Medicare: Medicare Enrolled Practice Location: 950 Route 146 Ste 200, Clifton Park, NY 12065 Phone: 518-383-4273 Fax: 518-383-4274 | |
Margaret Marie O'neill, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 989 Route 146, Building 300 Suite, Clifton Park, NY 12065 Phone: 518-383-4273 Fax: 518-383-4274 |