Stephanie Michelle Russell, | |
1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | |
(399) 851-6465 | |
Not Available |
Full Name | Stephanie Michelle Russell |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1211 Stewart Ave Ste 100, Bethpage, 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 |
---|---|---|---|
1568070316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 009894 (New York) | Primary |
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Michelle Russell, 367 5th Ave # 3f, Brooklyn, NY 11215-8136 Ph: (303) 505-1790 | Stephanie Michelle Russell, 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 Ph: (399) 851-6465 |
Shari Ashkin, CASAC Counselor Medicare: Medicare Enrolled Practice Location: 4271 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-520-6600 | |
Romaine Gordon, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4271 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-520-6600 Fax: 516-520-6750 | |
Eugene Simonson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Emma St, Bethpage, NY 11714 Phone: 516-780-0444 | |
Lizabeth Carino, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Stewart Ave Ste 100, Bethpage, NY 11714 Phone: 516-465-3998 | |
Kiera Maher, Counselor Medicare: Medicare Enrolled Practice Location: 1211 Stewart Ave Ste 100, Bethpage, NY 11714 Phone: 516-521-2361 | |
Brittany Hagemann, LMHC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 1211 Stewart Ave Ste 100, Bethpage, NY 11714 Phone: 516-465-3998 | |
Yevgeniya D'alessandro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Parkview Cir, Bethpage, NY 11714 Phone: 917-864-1116 |