Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL ANTHONY AMICO, M.D.
Active Sole ProprietorDR. RUSSELL ANTHONY AMICO, M.D. is a Internal Medicine healthcare provider located in WACCABUC, New York. NPI 1821245051 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WACCABUC, NY
Registration Details
- NPI Number
- 1821245051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2008 (18.003281267165 yrs)
- Last Updated
- Feb 4, 2016
- License
-
166750 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 FIVE PONDS DRWACCABUC, NY, 105971032Browse NY providers · Browse ZIP 10597
- Phone
- 8459136438
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in WACCABUC, NY
| Name | Credential | NPI |
|---|---|---|
| CAROL ANN RAYNER | MD | 1386623809 |
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.