Mrs. Mary Elizabeth Russo, RPA-C
Mrs. Mary Elizabeth Russo, RPA-C is a Physician Assistant in West Islip, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
540 Union BlvdWest Islip, NY 11795-3105
Phone: (631) 669-2555
Fax: (631) 669-3051
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 006322 (NY) |
|---|
Record details
| NPI number | 1225299381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RPA-C |
| Sole proprietor | No |
| NPI enumerated | June 21, 2008 |
| Last updated in NPPES | February 15, 2017 |
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