James Vincent Russo in Staten Island - Physician Assistant
James Vincent Russo - NPI 1194785725
James Vincent Russo is a Physician Assistant in Staten Island, New York. James Vincent Russo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James Vincent Russo is 1194785725. The last update date is 2007-07-08.
James Vincent Russo's current location address is 719 Bement Ave, Staten Island, New York. You can contact this provider via phone number 7184473078. The mailing address for James Vincent Russo is 719 Bement Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Vincent Russo |
|---|---|
| Address | 719 Bement Ave, Staten Island, New York |
| Phone Number | 7184473078 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1194785725 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 719 Bement Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 10310 |
| Phone Number | 7184473078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4260 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the James Vincent Russo's 1194785725?
The James Vincent Russo's NPI (National Provider Identifier) Number is 1194785725. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Vincent Russo located?
The James Vincent Russo is located at 719 Bement Ave, Staten Island, NY 10310.
What is the James Vincent Russo's specialty and taxonomy code?
The James Vincent Russo's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for James Vincent Russo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Vincent Russo is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194785725 to James Vincent Russo?
The James Vincent Russo received its 1194785725 assignment from the Centers for Medicare & Medicaid Services on 2006-03-27.