NPI 1215187133
Grace Russo
Practice location
- Address
- 43 Conestoga Trl, Sparta, NJ 07871-2509
- Phone
- (914) 443-0138
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1215187133
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Sep 2008
- Record last updated
- 28 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.