Ms Deirdre Lee Russo, MFT is a
Marriage & Family Therapist based in East Setauket, New York. Ms Deirdre Lee Russo is licensed to practice in New York (license number P97555) and her current practice location is
100 S Jersey Ave, Suite 42, East Setauket, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 689-1728.
NPI number for Ms Deirdre Lee Russo is 1457722464 and her current mailing address is 8 Winmar Ln, Sayville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457722464.
Healthcare Provider's Profile
Full Name | Ms Deirdre Lee Russo |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 100 S Jersey Ave, East Setauket, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457722464
- Provider Enumeration Date: 10/16/2015
- Last Update Date: 10/16/2015
Medical Identifiers
Medical identifiers for Ms Deirdre Lee Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457722464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | P97555 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Deirdre Lee Russo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Deirdre Lee Russo, MFT 8 Winmar Ln, Sayville, NY 11782-1371 Ph: (631) 404-6431 | Ms Deirdre Lee Russo, MFT 100 S Jersey Ave, Suite 42, East Setauket, NY 11733-2034 Ph: (631) 689-1728 |
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