Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael James Russo III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508781048

Michael James Russo III is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Flushing, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 036751 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1508781048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2026
Last updated in NPPESOctober 23, 2026
Certification dateOctober 23, 2026

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