ANTOINETTE MARIE RUSSOLELLO

NORTH HAVEN, CT
NPI1750008207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  029069)
Enumeration Date2022-10-25
Last Update Date2022-10-25
Business Address
ANTOINETTE MARIE RUSSOLELLO PA-C
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 845-214-6736
Mailing Address
ANTOINETTE MARIE RUSSOLELLO PA-C
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 845-214-6736