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1619564838
KRISTI RUSSO
STATEN ISLAND, NY
NPI
1619564838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026043)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
KRISTI RUSSO PA-C
43 LINWOOD AVE
STATEN ISLAND, NY 10305-4442
Phone number: 347-613-7046
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Mailing Address
KRISTI RUSSO PA-C
43 LINWOOD AVE
STATEN ISLAND, NY 10305-4442
Phone number: 347-613-7046
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