Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ELIZABETH RUSSO, RPA-C
ActiveMRS. MARY ELIZABETH RUSSO, RPA-C is a Physician Assistant healthcare provider located in WEST ISLIP, New York. NPI 1225299381 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST ISLIP, NY
Registration Details
- NPI Number
- 1225299381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2008 (18.171109538835 yrs)
- Last Updated
- Feb 15, 2017
- License
-
006322 (NY)
Practice Information
- Address
-
540 UNION BLVDWEST ISLIP, NY, 117953105Browse NY providers · Browse ZIP 11795
- Phone
- 6316692555
- Fax
- 6316693051
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD DECLUE | PA | 1093769416 |
| MRS. HEATHER LUCIDO | PA | 1346295557 |
| CHARLES LEVINSON | PA | 1962440834 |
| MR. FRANK KARP | PA | 1952345100 |
| MARK ZENDER | PA | 1750317871 |
| CHRISTINA STILLWELL | PA | 1609802669 |
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.