THOMAS ANTHONY RUSSO

COXSACKIE, NY
NPI1902804412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  004434-1)
Enumeration Date2005-07-08
Last Update Date2023-02-24
Business Address
MR. THOMAS ANTHONY RUSSO PA
9 LAW ST
COXSACKIE, NY 12192
Phone number: 518-731-2120
Mailing Address
MR. THOMAS ANTHONY RUSSO PA
9 LAW ST
COXSACKIE, NY 12192
Phone number: 518-731-2120
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