| Russell S. Wolff, Phd | |
|
C/o Independent Living Center Of The Hudson Valley 15-17 Third Street Troy NY 12180 | |
| (518) 768-0667 | |
| (518) 279-7559 |
| Full Name | Russell S. Wolff, Phd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | C/o Independent Living Center Of The Hudson Valley, Troy, New York |
| Authorized Official Name and Position | Russell S Wolff (PSYCHOLOGIST) |
| Authorized Official Contact | 5187680667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell S. Wolff, Phd C/o Independent Living Center Of The Hudson Valley 15-17 Third Street Troy NY 12180 Ph: (518) 768-0667 | Russell S. Wolff, Phd C/o Independent Living Center Of The Hudson Valley 15-17 Third Street Troy NY 12180 Ph: (518) 768-0667 |
| NPI Number | 1588890784 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588890784 | NPI | - | NPPES |
| 03124210 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 018097 (New York) | Primary |
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