Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristi Russo, PA-C

Individual provider Physician Assistant · NPI 1619564838

Kristi Russo, PA-C is a Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

43 Linwood Ave
Staten Island, NY 10305-4442
Phone: (347) 613-7046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026043 (NY)

Record details

NPI number1619564838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

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