Russo Speech Pathology Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0098791 Issued in NY

Legal business name

RUSSO SPEECH PATHOLOGY SERVICES, INC.

Practice address

3400 Melvin PL
Seaford, NY 11783-2918

Phone

(516) 785-2509

Fax

(516) 785-2509

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Angela L Russo, M.A., CCCSLP

Title

Speech/Language Pathologist

Phone

(516) 785-2509

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1225282692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MELVIN PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832918",
            "telephone_number": "516-785-2509",
            "fax_number": "516-785-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MELVIN PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832918",
            "telephone_number": "516-785-2509",
            "fax_number": "516-785-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSO SPEECH PATHOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-785-2509",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCCSLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0098791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gail Rosenberg
• Rosemary Ross, MSED.
• Jay Rothstein, DC
• Gregory Rubinfeld, M.D.
• Aylin Nicole Ruda
• Maxianne Russo
• Coleen Ryan-Frank, NP
• Dawn Ryan
• Marie Alisa Salerno, OTR
• Michele A Salvadori, NP

• Early Intervention Provider Agency in Seaford, NY
• Providers in Seaford, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.