Mary Elizabeth Russo in West Islip - Physician Assistant

Mary Elizabeth Russo - NPI 1225299381

Mary Elizabeth Russo is a Physician Assistant in West Islip, New York. Mary Elizabeth Russo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Elizabeth Russo is 1225299381. The last update date is 2017-02-15.

Mary Elizabeth Russo's current location address is 540 Union Blvd, West Islip, New York. You can contact this provider via phone number 6316692555 and fax number 6316693051. The mailing address for Mary Elizabeth Russo is 540 Union Blvd, West Islip, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Elizabeth Russo
Address 540 Union Blvd, West Islip, New York
Phone Number 6316692555
Fax Number 6316693051
Sole Proprietor N
Credentials RPA-C

NPI Number Detail

NPI Number 1225299381
Provider Enumeration Date 2008-06-21
Last Updated Date 2017-02-15

Provider Mailing Address Detail

Address 540 Union Blvd
City West Islip
State New York (NY)
Post Code 117953105
Phone Number 6316692555
Fax Number 6316693051

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 6322
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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FAQs about Mary Elizabeth Russo

What is the Mary Elizabeth Russo's unique identification number?

The Mary Elizabeth Russo has been assigned the NPI (National Provider Identifier) Number 1225299381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Mary Elizabeth Russo's physical address?

The Mary Elizabeth Russo is physically located at 540 Union Blvd, in the city of West Islip, NY, with the postal code 117953105.

What is Mary Elizabeth Russo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Elizabeth Russo is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did Mary Elizabeth Russo receive its 1225299381 assignment from the Centers for Medicare & Medicaid Services?

The Mary Elizabeth Russo was assigned its 1225299381 on 2008-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mary Elizabeth Russo most recently updated or refreshed?

The details pertaining to the Mary Elizabeth Russo, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-15.

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