Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS RUSSO, PA-C
Active Sole ProprietorNICHOLAS RUSSO, PA-C is a Physician Assistant healthcare provider located in BRONXVILLE, New York. NPI 1104696996 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRONXVILLE, NY
Registration Details
- NPI Number
- 1104696996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2024 (2.5695111685431 yrs)
- Last Updated
- Feb 19, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
13 BIRCH BROOK RDBRONXVILLE, NY, 107082015Browse NY providers · Browse ZIP 10708
- Phone
- 9144839206
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRONXVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. AUBRI S VENERUSO | MMS, PA-C | 1053568063 |
| LEANA PALMER | — | 1205102415 |
| MEREDITH BOURDEAU | PA-C, ATC | 1962818013 |
| MS. KIMBERLY MCMANUS | PA | 1598216442 |
| ANTHONY BORRERO | PA-C | 1487199493 |
| DANA MARIE SNAVELY | PA-C | 1992224216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.