| Dayna Russo, | |
|
4 Laura Dr, Centereach, NY 11720-3067 | |
| (631) 772-0719 | |
| Not Available |
| Full Name | Dayna Russo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4 Laura Dr, Centereach, 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 |
|---|---|---|---|
| 1508634296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 012036 (New York) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Dayna Russo, 4 Laura Dr, Centereach, NY 11720-3067 Ph: () - | Dayna Russo, 4 Laura Dr, Centereach, NY 11720-3067 Ph: (631) 772-0719 |
Mrs. Marguerite F Metzendorf, LCSWR Counselor Medicare: Accepting Medicare Assignments Practice Location: 21 Charles St, Centereach, NY 11720 Phone: 631-580-4247 Fax: 631-580-4247 | |
Syeda Ali, CASAC ADVANCED Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Stanley Dr, Centereach, NY 11720 Phone: 631-504-1648 | |
Mrs. Krystal Vilardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523a Park Ave, Centereach, NY 11720 Phone: 631-721-3473 | |
Mrs. Cynthia B Kealey, APRN BC PSYCH CLINIC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1919 Middle Country Rd, Ste 202, Centereach, NY 11720 Phone: 631-589-1203 Fax: 631-467-5105 | |
Mrs. Diana Manor, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1919 Middle Country Road, Suite 201, Centereach, NY 11720 Phone: 631-921-2208 | |
Lizette Amparado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Bowdoin Rd, Centereach, NY 11720 Phone: 516-721-7784 |