MARY ELIZABETH RUSSO

WEST ISLIP, NY
NPI1225299381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006322)
Enumeration Date2008-06-21
Last Update Date2017-02-15
Business Address
Mrs. MARY ELIZABETH RUSSO RPA-C
540 UNION BLVD
WEST ISLIP, NY 11795-3105
Phone number: 631-669-2555
Mailing Address
Mrs. MARY ELIZABETH RUSSO RPA-C
540 UNION BLVD
WEST ISLIP, NY 11795-3105
Phone number: 631-669-2555
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