Nicholas Russo, PA-C
NPI #1104696996 in Bronxville, New York
Provider Information
- NPI Number
- 1104696996
- Entity Type
- Individual
- Name
- Nicholas Russo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 3, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 13 BIRCH BROOK RD
- City
- Bronxville
- State
- New York
- ZIP Code
- 10708-2015
- Phone
- (914) 483-9206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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