NICHOLAS RUSSO

BRONXVILLE, NY
NPI1104696996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-01-03
Last Update Date2024-02-19
Business Address
NICHOLAS RUSSO PA-C
13 BIRCH BROOK RD
BRONXVILLE, NY 10708-2015
Phone number: 914-483-9206
Mailing Address
NICHOLAS RUSSO PA-C
13 BIRCH BROOK RD
BRONXVILLE, NY 10708-2015
Phone number: 914-483-9206