JAMES VINCENT RUSSO

STATEN ISLAND, NY
NPI1194785725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004260)
Enumeration Date2006-03-27
Last Update Date2007-07-08
Business Address
-- JAMES VINCENT RUSSO PA
475 SEAVIEW AVE STATEN ISLAND UNIVERSITY HOSPITAL
STATEN ISLAND, NY 10305
Phone number: 718-226-9000
Mailing Address
-- JAMES VINCENT RUSSO PA
719 BEMENT AVE
STATEN ISLAND, NY 10310
Phone number: 718-447-3078
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