| Angel M. Russo, Ph.d., Pllc | |
|
5820 Main St #400 Williamsville NY 14221-5776 | |
| (716) 667-7031 | |
| (716) 667-7034 |
| Full Name | Angel M. Russo, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5820 Main St, Williamsville, New York |
| Authorized Official Name and Position | Angel M. Russo (DR.) |
| Authorized Official Contact | 7166677031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel M. Russo, Ph.d., Pllc 5820 Main St 400 Williamsville NY 14221-5776 Ph: (716) 667-7031 | Angel M. Russo, Ph.d., Pllc 5820 Main St #400 Williamsville NY 14221-5776 Ph: (716) 667-7031 |
| NPI Number | 1225190549 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225190549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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