Provider Demographics
NPI:1851382949
Name:RUSANSKY DROB, LILIANA MONICA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:MONICA
Last Name:RUSANSKY DROB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:LILIANA
Other - Middle Name:MONICA
Other - Last Name:DROB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:8 CAMBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1908
Mailing Address - Country:US
Mailing Address - Phone:718-783-0141
Mailing Address - Fax:718-732-0043
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:SUITE 1214
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:646-262-7834
Practice Address - Fax:718-732-0043
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15764103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical