SARRA RUSSO

STRATFORD, CT
NPI1245583160
Former NameSARRA KOUMASIDIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  016098)
Enumeration Date2012-10-16
Last Update Date2021-07-30
Business Address
Mrs. SARRA RUSSO PA
2876 MAIN ST
STRATFORD, CT 06614-4984
Phone number: 203-219-3929
Mailing Address
Mrs. SARRA RUSSO PA
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number:
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