Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS ANTHONY RUSSO, PA
ActiveMR. THOMAS ANTHONY RUSSO, PA is a Medical Physician Assistant healthcare provider located in COXSACKIE, New York. NPI 1902804412 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COXSACKIE, NY
Registration Details
- NPI Number
- 1902804412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.113498115319 yrs)
- Last Updated
- Feb 24, 2023
- License
-
004434-1 (NY)
Practice Information
- Address
-
9 LAW STCOXSACKIE, NY, 12192Browse NY providers · Browse ZIP 12192
- Phone
- 5187312120
- Fax
- 5187312070
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.