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Contact Information

RUSSELL S. WOLFF, PHD
C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY
15-17 THIRD STREET
TROY, NY12180
 Phone: 518-768-0667
 Fax: 518-279-7559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for RUSSELL S. WOLFF, PHD

NPI # 1588890784
LBN Legal business name RUSSELL S. WOLFF, PHD
Authorized official RUSSELL WOLFF - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2009
Last updated 12/13/2010 - About 15 years ago
Identifiers
NY License # 018097
NY Medicaid 03124210
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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