Mr. Thomas Anthony Russo, PA
Mr. Thomas Anthony Russo, PA is a Physician Assistant in Coxsackie, New York. Qualified in 1992, 34 years ago. Practices with Columbia Memorial Regional Medical PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 34
- Licensed in
- NY
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
9 Law StCoxsackie, NY 12192
Phone: (518) 731-2120
Fax: (518) 731-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 004434-1 (NY) |
|---|
Record details
| NPI number | 1902804412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 8, 2005 |
| Last updated in NPPES | February 24, 2023 |
| Certification date | February 24, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | Columbia Memorial Regional Medical Pllc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |